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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Diana Smith Psychiatric Mental Health Nurse Practitioner LLC | Other Name - Individual/Organization |
Parkview medical | Doing Business As Name - Organization |
Street Address |
417 W 13TH ST |
City | PUEBLO |
State | CO |
Zip Code | 81003-2703 |
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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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 Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
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 |
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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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.