PUEBLO WOMENS CENTER (NPI# 1386858678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386858678 |
| Entity Type | Organization |
| Organization Name | PUEBLO WOMENS CENTER |
| Practice Address |
4010 Jerry Murphy Rd Pueblo CO 81001-1045 |
| Mailing Address |
4010 Jerry Murphy Road Pueblo CO 81001 |
| Practice Telephone | 7195462229 |
| Mailing Telephone | 7195462229 |
| Mailing Fax Number | 7195839069 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARSHA L CHRISTMAN (GYN-NP) |
| Authorized Official Telephone | 7195462229 |
| Authorized Official Credential | NURSE PRACTIONER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 67505 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4010 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891714713 | James E Roukema | Obstetrics & Gynecology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-07-19 |
| 1518323955 | Shaundra Lujan | Advanced Practice Midwife | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2016-01-14 |
| 1710282561 | Jennifer Rae Roberts | Advanced Practice Midwife | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2011-01-25 |
| 1205095403 | Elizabeth S Ehama | Obstetrics & Gynecology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2008-06-03 |
| 1376603191 | Pueblo Bone Density Center | Radiology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-12-11 |
| 1962591206 | Pueblo Womens Center, LLC | Obstetrics & Gynecology | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-10-12 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288977 | Megan Jay Warden | Nurse Practitioner | 2099 W Us Highway 50 Ste 150-b, Pueblo, CO 81008-1665 | 2019-07-31 |
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1497178172 | Theresa Kuhn | Nurse Practitioner | 4112 Outlook Blvd Ste 325, Pueblo, CO 81008-1667 | 2014-01-30 |
| 1952579773 | Karen Delacruz | Nurse Practitioner | 902 Lakeview, Pueblo, CO 81004 | 2008-02-14 |
| 1700082021 | Christine Marie Cruz | Nurse Practitioner | 1406 W 17th St, Pueblo, CO 81003-1927 | 2007-06-24 |
| 1063554426 | Jay A Balestrieri | Nurse Practitioner | 400 W 17th St, Pueblo, CO 81003-2649 | 2007-02-13 |
| 1447331830 | Deborah Lynn Chase | Nurse Practitioner | 1925 E Orman Ave Ste 440, Pueblo, CO 81004-3551 | 2006-10-18 |
| 1043276686 | Carla R Beswick | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2006-04-22 |
| 1174124838 | Jenna Rawlings | Nurse Practitioner | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | 2020-11-07 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| Find all providers in PUEBLO | ||||
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| 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.