CYNTHIA R. SOULERET (NPI# 1518210228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518210228 |
| Entity Type | Individual |
| Full Name | CYNTHIA R. SOULERET |
| Credential | PMHNP-BC |
| Practice Address |
2429 S Prairie Ave Pueblo CO 81005-2886 |
| Practice Telephone | 7195645070 |
| Mailing Telephone | 7195645070 |
| Mailing Fax Number | 7198962874 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0109890 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0991032-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 Printers Pkwy, Colorado Springs, CO 809106100 | 7193741650 | 7198962874 |
| 602 Yale Pl, Canon City, CO 812124611 | 7192750700 | 7198962874 |
| Street Address |
2429 S PRAIRIE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1316588445 | Karla Lee Scull | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2019-09-30 |
| 1821569955 | Megan Lynn Garcia | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-16 |
| 1023589447 | Xaviera Turner | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-11 |
| 1518438928 | Brielle Byrd | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-10 |
| 1407330368 | Justin P Genova | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1205310216 | Laura Padilla | Marriage & Family Therapist | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1184138158 | Dana G Lieser | Licensed Practical Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-11-28 |
| 1720500952 | Kelley Revels | Registered Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-07-10 |
| 1487106365 | Stacie Marie Gonzales | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| 1114009198 | Senior Harbors, Inc. | Psychologist | 2118 Chatalet Lane, Pueblo, CO 81005 | 2006-10-19 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050615 | Jodi R Trujillo | Nurse Practitioner | 37 S Briarwood Pl, Pueblo, CO 81005-1803 | 2016-09-09 |
| 1851831846 | Annabelle Florez | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-02-24 |
| 1871950493 | Wendy Wade | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2016-01-27 |
| 1437554557 | Alison Shapiro | Nurse Practitioner | 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 | 2014-10-31 |
| 1114357183 | Leslie Ann Branick Morrow | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2013-11-12 |
| 1811233448 | Slawomir Tycner | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2012-12-31 |
| 1760730295 | Brenda Jean Mcbride-wilson | Nurse Practitioner | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2012-08-15 |
| 1578810750 | Lorrie J. Hoffman | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2012-08-07 |
| 1013283241 | Monica A Flynn | Nurse Practitioner | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2012-04-02 |
| 1073833273 | Janice Mary Whiting | Nurse Practitioner | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2010-06-10 |
| 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.