MRS. JAYDENE MASON (NPI# 1790749778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790749778 |
| Entity Type | Individual |
| Full Name | MRS. JAYDENE MASON |
| Credential | N.P. |
| Practice Address |
2600 Oakshire Ln Pueblo CO 81001-5671 |
| Mailing Address |
622 Belleview Ave La Junta CO 81050-2334 |
| Practice Telephone | 7192957260 |
| Practice Fax Number | 7192957267 |
| Mailing Telephone | 7193840184 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
72274 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2600 OAKSHIRE LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674987 | Robert Brooks Maurio | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2020-03-16 |
| 1750741211 | Denver Vamc | Skilled Nursing Facility | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2016-02-26 |
| 1487086112 | Robert B King | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2013-08-05 |
| 1962653584 | Lourdes Emiko Nishi | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445467 | Liberty Angel Ruiz | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-06 |
| 1013486299 | Coral Breanne Martinez | Nurse Practitioner | 1600 N Grand Ave Ste 150, Pueblo, CO 81003-2755 | 2018-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504978 | Mary Margaret Krzystowczyk | Nurse Practitioner | 930 N Logan St Apt 1/2, Denver, CO 80203-3193 | 2020-10-02 |
| 1225635477 | Shannan Rene Bryant | Nurse Practitioner | 950 E Harvard Ave Ste 320, Denver, CO 80210-7005 | 2020-10-01 |
| 1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
| 1295240380 | Audra Roosen | Nurse Practitioner | 1221 Timbervale Trl, Highlands Ranch, CO 80129-6946 | 2017-12-11 |
| 1134654916 | Jennifer Kahan | Nurse Practitioner | 18515 Peaceful Pines Rd, Monument, CO 80132-8368 | 2017-04-28 |
| 1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
| 1467846600 | Cammie Rausch | Nurse Practitioner | 3885 Upham St Ste 100, Wheat Ridge, CO 80033-4800 | 2015-03-25 |
| 1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
| 1962745448 | Sarah Anne Hicks | Nurse Practitioner | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-03 |
| 1104102003 | Tricia Lea Vath | Nurse Practitioner | 8510 Bryant St Ste 350, Westminster, CO 80031-3845 | 2011-10-25 |
| 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.