MRS. CRISELLE ELAINE TUCKEL (NPI# 1336385939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336385939 |
| Entity Type | Individual |
| Full Name | MRS. CRISELLE ELAINE TUCKEL |
| Credential | NNP-BC |
| Practice Address |
400 West 16th Street Parkview Medical Center Pueblo CO 81003 |
| Mailing Address |
1301 Concord Terrace Pediatrix Medical Group, Incorporated Sunrise FL 33323-2843 |
| Practice Telephone | 7195844000 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548511839 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
51436 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 WEST 16TH STREET PARKVIEW MEDICAL CENTER |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881899755 | Serena M. Ackerman | Nurse Anesthetist, Certified Registered | 400 West 16th Street, Pueblo, CO 81003-2745 | 2007-06-19 |
| 1790252328 | Kimberly Marie Merelman | Physician Assistant | 400 West 16th Street, Pueblo, CO 81003-2745 | 2018-11-01 |
| 1164875902 | Jose Adolfo Gonzalez Villalba | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-2745 | 2016-07-18 |
| 1225492689 | Tanya Luke Reddy | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-3123 | 2016-04-11 |
| 1457735318 | Nisha Deol | Internal Medicine | 400 West 16th Street, Pueblo, CO 81003 | 2015-07-10 |
| 1184001281 | Gabriel Cintron | Internal Medicine | 400 West 16th Street, Pueblo, CO 81003-2745 | 2015-04-28 |
| 1700270980 | Nandini Mehta | Hospitalist | 400 West 16th Street, Pueblo, CO 81003 | 2015-03-25 |
| 1356688873 | Rebekah Moriah Bergemann | Registered Nurse | 400 West 16th Street, Pueblo, CO 81003 | 2013-01-04 |
| 1962782037 | Courtney Fugate | Hospitalist | 400 West 16th Street, Pueblo, CO 81003-2745 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 364SN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841429693 | Jane E Buie | Clinical Nurse Specialist | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2009-07-14 |
| 1528239720 | Kimberly Anne Olivarez | Clinical Nurse Specialist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-03-14 |
Please comment or provide details below to improve the information on MRS. CRISELLE ELAINE TUCKEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.