DIANA SMITH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER LLC


Address: 417 W 13th St, Pueblo, CO 81003-2703
Phone: 7195692319

DIANA SMITH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER LLC (NPI# 1588275929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588275929
Entity Type Organization
Organization Name DIANA SMITH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER LLC
Practice Address 417 W 13th St
Pueblo
CO 81003-2703
Practice Telephone 7195692319
Mailing Telephone 7195692319
Enumeration Date 2020-08-10
Last Update Date 2020-08-10
Authorized Official Name MRS. DIANA J SMITH (PROVIDER)
Authorized Official Telephone 1719569231
Authorized Official Credential PMHNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Diana Smith Psychiatric Mental Health Nurse Practitioner LLC Other Name - Individual/Organization
Parkview medical Doing Business As Name - Organization

Office Location

Street Address 417 W 13TH ST
City PUEBLO
State CO
Zip Code 81003-2703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265434773 Evelyn Wertenberger Counselor 417 W 13th St, Pueblo, CO 81003-2703 2005-08-15
1457986010 Emory Paul Abeyta Counselor 417 W 13th St, Pueblo, CO 81003-2703 2020-03-04
1952963209 Pathways Psychological Services, LLP Counselor 417 W 13th St, Pueblo, CO 81003-2703 2019-07-07
1831754456 Vennessia Marie Jimenez Counselor 417 W 13th St, Pueblo, CO 81003-2703 2019-05-08
1740755297 Douglas Jones Clinic/Center 417 W 13th St, Pueblo, CO 81003-2703 2018-10-11
1063801579 Douglas Jones Psychologist 417 W 13th St, Pueblo, CO 81003-2703 2015-01-21
1730513912 Prudencio A Cosyleon Social Worker 417 W 13th St, Pueblo, CO 81003-2703 2013-08-24
1326204058 Donna Lee Gonzales Counselor 417 W 13th St, Pueblo, CO 81003-2703 2008-08-01
1881871747 Laurine Smith Social Worker 417 W 13th St, Pueblo, CO 81003-2703 2008-01-23
1851586291 Richard Sasicki Social Worker 417 W 13th St, Pueblo, CO 81003-2703 2007-09-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285879130 Kristine Rasmussen Dangremond Psychiatry & Neurology 2950 Professional Place Suite 115, Pueblo, CO 81004 2008-12-06
1285935262 Jose Daniel Martinez-gamba Psychiatry & Neurology 1012 W Abriendo Ave, Pueblo, CO 81004-1128 2010-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417440652 Christina Sternitzke Psychiatry & Neurology 300 S Jackson St Ste 240, Denver, CO 80209 2018-06-12
1023544277 Paula Riggs Psychiatry & Neurology 12469 East 17th Place, Building 400, Aurora, CO 80045 2017-05-10
1205254182 Elizabeth Fenstermacher Psychiatry & Neurology 777 Bannock St Dept Of, Denver, CO 80204-4507 2014-03-28
1467725333 Gordon King Farley Psychiatry & Neurology 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 2012-02-22
1669759510 Foster Winfield Cline Jr. Psychiatry & Neurology 5910 S Jellison St, Littleton, CO 80123-3526 2011-11-07
1548490287 Jadon Ray Webb Psychiatry & Neurology 26 W Dry Creek Cir Ste 710, Littleton, CO 80120-8065 2009-07-15
1356500292 Susan Mary Vanscoyk-simon Psychiatry & Neurology 1616 17th Street Suite 578, Denver, CO 80202 2008-06-05
1316113947 Elaine Ann Sandler Psychiatry & Neurology 30772 Southview Dr Ste 150, Evergreen, CO 80439-2216 2008-05-04
1114118742 Adam S Burstein Psychiatry & Neurology 1731 E 16th Ave, Denver, CO 80218-1628 2007-08-08
1487859757 Marcy Cooper Psychiatry & Neurology 1314 Main St Unit 204, Louisville, CO 80027-1586 2007-06-18
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Competitor

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City PUEBLO
Zip Code 81003

Improve Information

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Dataset Information

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.

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