JAY SERVEY (NPI# 1376901397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376901397 |
| Entity Type | Individual |
| Full Name | JAY SERVEY |
| Practice Address |
1302 Chinook Ln Pueblo CO 81001-1851 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN.1629021 | CO | Nursing Service Providers |
| Street Address |
1302 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487876 | Vanessa Benavidez | Specialist/Technologist, Other | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2006-11-24 |
| 1194326314 | Roland Valdez | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-11-04 |
| 1871191270 | Ariana Gallegos | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1083212492 | Nia Gomez | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1396343513 | Kaylene Medina | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1396342283 | Health Solutions | Clinic/Center | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1922617281 | Barbara Miller | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1790394062 | Jo Piano | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1427667708 | Reynalda Garoutte | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1245848969 | Jennifer Andrews | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649735663 | Shayla Fekety | Registered Nurse | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1366 | 2019-02-04 |
| 1316494149 | Claudia Rincon | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-09-09 |
| 1982050365 | Kayla Varela | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-05-04 |
| 1801258728 | Melissa Rivera | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-03-22 |
| 1811355837 | Roberta Spangler | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-02-04 |
| 1588021745 | Maggie Schleifer | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2016-01-19 |
| 1417322579 | Danielle Predovich | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2015-12-01 |
| 1871966697 | Geraldine Montoya | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2015-11-02 |
| 1205209111 | Tabatha Wills | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2015-11-02 |
| 1497128227 | Melissa Wissel | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2015-11-02 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on JAY SERVEY.
| 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.