CARRIE ANN MONDRAGON (NPI# 1700034832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700034832 |
| Entity Type | Individual |
| Full Name | CARRIE ANN MONDRAGON |
| Credential | RN |
| Practice Address |
613 Main Street San Luis CO 81152 |
| Mailing Address |
128 Market St Alamosa CO 81101-2290 |
| Practice Telephone | 7195882551 |
| Mailing Telephone | 7195871038 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 120174 | CO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 74858017 | 05 |
| Street Address |
613 MAIN STREET |
| City | SAN LUIS |
| State | CO |
| Zip Code | 81152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1669098901 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera, San Luis, CO 81152 | 2020-06-23 |
| 1215001516 | Centenial School District R1 | Local Education Agency (LEA) | 909 N Main Street, San Luis, CO 81152 | 2006-11-20 |
| 1790775567 | Emelin Martinez | Nurse Practitioner | North Highway 159, San Luis, CO 81152 | 2005-10-24 |
| 1417944729 | Valley-wide Health Systems, Inc | Clinic/Center | 233 Main Street, Suite B, San Luis, CO 81152 | 2005-10-03 |
| 1043840051 | Costilla County Ambulance District | Ambulance | 233 Main St, Building 2, San Luis, CO 81152 | 2020-01-17 |
| 1679832117 | Maryanne Martinez | Registered Nurse | 233 Main Street, Suite C, San Luis, CO 81152 | 2012-05-03 |
| 1427317999 | Vivian B Gallegos | Registered Nurse | 233 Main Street, Suite C, San Luis, CO 81152 | 2012-05-03 |
| 1972725455 | County of Costilla | Case Management | 233 Main Street, Suite C, San Luis, CO 81152 | 2007-05-03 |
| 1699912592 | Costilla County Ambulance District | Ambulance | 233 Main St., San Luis, CO 81152-0035 | 2009-01-14 |
| Find all providers in zip 81152 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826224 | Jaime Emmanuel Valles | Registered Nurse | 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | 2018-10-09 |
| 1609399989 | Christina Alyssa Gutierrez | Registered Nurse | 1233 N Main St Ste 1a, San Luis, AZ 85349 | 2017-07-19 |
| 1679832117 | Maryanne Martinez | Registered Nurse | 233 Main Street, Suite C, San Luis, CO 81152 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466764 | Kimberly Renee Baca | Registered Nurse | 7981 E 135th Ave, Thornton, CO 80602-8503 | 2020-10-27 |
| 1922607670 | Kyle Richard Dietz | Registered Nurse | 221 S Garfield St Unit 206, Denver, CO 80209-3192 | 2020-10-23 |
| 1013515600 | Julie Kissner | Registered Nurse | 607 25 Rd Ste 201, Grand Junction, CO 81505-1287 | 2020-10-15 |
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1174121073 | Katherine Rainie Campbell | Registered Nurse | 360 Peak One Dr # 230, Frisco, CO 80443-5948 | 2020-10-13 |
| 1114525227 | Emily Justice | Registered Nurse | 3702 High Ct, Wheat Ridge, CO 80033-6330 | 2020-10-12 |
| 1962009266 | Nahir Del Carmen Bailey | Registered Nurse | 4551 Bridle Pass Dr, Colorado Springs, CO 80923-9213 | 2020-10-08 |
| 1902413776 | Holly Laughlin | Registered Nurse | 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 | 2020-09-25 |
| 1447866264 | Christy Nguyen | Registered Nurse | 2914 S Zurich Ct, Denver, CO 80236-2039 | 2020-09-17 |
| 1609482546 | Amy Brundage Kinkade | Registered Nurse | 8095 Galileo Way, Littleton, CO 80125-1813 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.