DEPARTMENT OF VETERANS AFFAIRS (NPI# 1417191586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417191586 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Practice Address |
4112 Outlook Blvd Pueblo CO 81008-1667 |
| Practice Telephone | 7195531000 |
| Mailing Telephone | 7195531000 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | IGNACIO GARCIA/BAROS (SOCIAL WORK) |
| Authorized Official Telephone | 7195531000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
985013 | CO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
4112 OUTLOOK BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233432 | Richard N. Nanes | Emergency Medicine | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2005-11-22 |
| 1487262689 | Patricia A Turner | Nurse Practitioner | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2020-07-14 |
| 1932648490 | Jordan T. Rhodes | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2017-02-16 |
| 1952769812 | Samantha Correia | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2016-02-08 |
| 1003295346 | Karen Bishop | Physical Therapist | 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008-1667 | 2015-05-19 |
| 1871992321 | Ryanne Leah Gromatzky | Physical Therapist | 4112 Outlook Blvd, 96, Pueblo, CO 81008-1667 | 2014-08-21 |
| 1801218284 | Pamela Drummond | Registered Nurse | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2014-01-20 |
| 1568896959 | Sarah Elizabeth Whiteman | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-08-21 |
| 1336487297 | Leslie Dallas | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-01-27 |
| 1780942441 | Betty Ann Massino | Massage Therapist | 4112 Outlook Blvd, Suite #96, Pueblo, CO 81008-1667 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205874526 | Denver Vamc | Clinic/Center | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431537 | Grand Junction Vamc | Clinic/Center | 482 28 Rd, Grand Junction, CO 81501-7936 | 2020-06-10 |
| 1063990737 | Cheyenne Vamc | Clinic/Center | 100 College Ave, Sterling, CO 80751-2345 | 2018-08-03 |
| 1104217520 | Denver Vamc | Clinic/Center | 3836 York Street, Denver, CO 80205-9998 | 2015-02-06 |
| 1902297328 | Grand Junction Vamc | Clinic/Center | 2425 South Grand Avenue, Suite 101, Glenwood Springs, CO 81601-4181 | 2015-02-06 |
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1043496169 | Grand Junction Vamc | Clinic/Center | 1111 W Victory Way Ste 116, Craig, CO 81625-2945 | 2008-01-18 |
| 1144268731 | Grand Junction Vamc | Clinic/Center | 154 Colorado Ave., Suite 100, Montrose, CO 81401-3600 | 2006-06-03 |
| 1992752877 | Denver Vamc | Clinic/Center | 1020 Johnson Road, Golden, CO 80401-6002 | 2006-05-27 |
| 1528013083 | Cheyenne Vamc | Clinic/Center | 2509 Research Blvd, Fort Collins, CO 80526-8108 | 2006-05-23 |
| 1073566527 | Albuquerque Vamc | Clinic/Center | 1970 E 3rd Ave, Ste 102, Durango, CO 81301-5056 | 2006-05-18 |
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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.