JEANNE LEE WALSH (NPI# 1801331517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801331517 |
| Entity Type | Individual |
| Full Name | JEANNE LEE WALSH |
| Practice Address |
1310 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195840110 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902054448 | Jeanne Walsh | Registered Nurse | 66 Tulip Ave, Apt. 1c, Floral Park, NY 11001-1806 | 2008-09-08 |
| 1295873669 | Jeanne Marie Walsh | Social Worker | 145 W 45th St, New York, NY 10036-4008 | 2007-02-01 |
| Street Address |
1310 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595565 | Valerie E Schuster | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2006-02-01 |
| 1669079554 | Health Solutions | Clinic/Center | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1982239067 | Jordan Drake | Case Manager/Care Coordinator | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2020-03-09 |
| 1154967990 | Jamie Trujillo | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-11-26 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1972061786 | Sarah Johnson | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-11 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1891251724 | Whitney White | Social Worker | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-02-15 |
| 1205332301 | Robyn Matkovich | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2018-04-05 |
| 1376045450 | Kevin Wayne Wood | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2018-03-05 |
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| 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 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380319 | Andrea Vigil | Case Manager/Care Coordinator | 41 Montebello Rd Ste 100, Pueblo, CO 81001-1366 | 2019-08-06 |
| 1215300744 | Mary Sianez | Case Manager/Care Coordinator | 1612 Bonforte Blvd, Pueblo, CO 81001-1603 | 2015-11-05 |
| 1912505223 | Joseph Lucero | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-10-09 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1851907802 | Alexis Cordova | Case Manager/Care Coordinator | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| 1689285710 | Lori Pizarro | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-08-12 |
| 1194336271 | Brianna Wallace | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-08-12 |
| 1811505985 | Lindsay Carleton | Case Manager/Care Coordinator | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-15 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1609496322 | Danette Ballard | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-04-22 |
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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.