MISS LARONZA RONQUINETTE WILEY (NPI# 1720280548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720280548 |
| Entity Type | Individual |
| Full Name | MISS LARONZA RONQUINETTE WILEY |
| Practice Address |
3470 Baltimore Ave Pueblo CO 81008 |
| Mailing Address |
41 Montebello Rd Ste 202 Pueblo CO 81001-1366 |
| Practice Telephone | 7195451181 |
| Practice Fax Number | 7195454097 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 Chinook Ln, Pueblo, CO 810011851 | 7195452746 | 7195429638 |
| Street Address |
3470 BALTIMORE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699983122 | Dianne Mcnair Hayhurst-vigil | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2007-05-18 |
| 1871100719 | Shannan Tiphareth | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2020-09-24 |
| 1235779166 | John Mark Jackson | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2020-01-08 |
| 1851880645 | Sabrina J Vigil | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2018-05-07 |
| 1790220937 | Pasca; Collins | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2016-12-26 |
| 1306232368 | Katrina Baughman | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2015-04-07 |
| 1104242841 | Martha Atchison | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2014-03-05 |
| 1093145369 | Shonda Hill | Counselor | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2013-11-22 |
| 1861729659 | Tara Smith | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-16 |
| 1770819393 | John Ryan Vialpando | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-02 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1730699984 | Adult Youth @ Swanson Counseling LLC | Counselor | 803 W 4th St Ste D, Pueblo, CO 81003-2392 | 2017-10-02 |
| 1508300344 | Rosalinda Pena | Counselor | 2612 Ivywood Ln, Pueblo, CO 81004-3642 | 2016-12-13 |
| 1497112650 | Tanya Hamilton | Counselor | 3691 Parker Blvd, Suite 200, Pueblo, CO 81008-2278 | 2016-01-19 |
| 1669803946 | Dana Lambert | Counselor | 201 W 8th St Ste 403, Pueblo, CO 81003-3033 | 2013-12-11 |
| 1356615264 | Linda Litzenberger | Counselor | 24761 Hillside Rd, Pueblo, CO 81006-3023 | 2012-02-24 |
| 1245509496 | Margaret E Myers | Counselor | 25500 Hillside Rd, Pueblo, CO 81006-9787 | 2011-12-16 |
| 1285938407 | Cordelia Ruth Cameron | Counselor | 429 W. 10th St., Pueblo, CO 81003-2941 | 2011-01-03 |
| 1649570466 | Carey Lavaux | Counselor | 803 W 4th St Ste F, Pueblo, CO 81003-3177 | 2010-10-26 |
| 1679895247 | Heather D Ashurst | Counselor | 1026 Abriendo Ave, Pueblo, CO 81004 | 2010-02-23 |
| 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.