CHERI CORDOVA (NPI# 1598131468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598131468 |
| Entity Type | Individual |
| Full Name | CHERI CORDOVA |
| Practice Address |
3676 Parker Blvd Ste 350 Pueblo CO 81008-2213 |
| Mailing Address |
7951 E Maplewood Ave Ste 300 Greenwood Village CO 80111-4726 |
| Practice Telephone | 7192966000 |
| Practice Fax Number | 7195451146 |
| Mailing Telephone | 3039307800 |
| Mailing Fax Number | 3039307860 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.0182096 | CO | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APN.0992037-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3676 PARKER BLVD STE 350 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187311 | Alonso Pacheco | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2007-02-06 |
| 1033744131 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2020-03-09 |
| 1073878617 | Kara A. Hart | Nurse Practitioner | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2012-07-10 |
| 1760624415 | Ami Gorsky | Social Worker | 3676 Parker Blvd Ste 350, Pueblo, CO 81008 | 2009-03-26 |
| 1477711901 | Sofyan Morshed Taleb Radaideh | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2008-05-31 |
| 1811188253 | Muath Dawod | Internal Medicine | 3676 Parker Blvd Ste 350, Pueblo, CO 81008-2213 | 2007-08-08 |
| 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 | 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.