ELOISE OLIVARES (NPI# 1811445083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811445083 |
| Entity Type | Individual |
| Full Name | ELOISE OLIVARES |
| Practice Address |
5055 Outlook Blvd Pueblo CO 81008-1388 |
| Mailing Address |
Po Box 1268 Canon City CO 81215-1268 |
| Practice Telephone | 7195689848 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN0025621 | CO | Nursing Service Providers |
| Street Address |
5055 OUTLOOK BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426042 | Katie Mccord | Physical Therapist | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2012-08-06 |
| 1124584883 | Gurdip Kaur Chowdhari | Physical Therapist | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2019-02-18 |
| 1144790569 | Britney L Williams | Occupational Therapy Assistant | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2018-11-28 |
| 1124594254 | Zoe D Soderstrom | Occupational Therapy Assistant | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2018-10-16 |
| 1518343565 | Darla Calderon | Physical Therapy Assistant | 5055 Outlook Blvd, Pueblo, CO 81008-1388 | 2015-07-31 |
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1801144514 | Andrea S Lewis | Licensed Practical Nurse | 1026 West Abriendo Avenue, Pueblo, CO 81004-1128 | 2012-08-28 |
| 1366770661 | Renee Joan Sprague | Licensed Practical Nurse | 3717 Azalea St, Pueblo, CO 81005-3004 | 2009-11-24 |
| 1750514451 | Stephanie Louise Linan | Licensed Practical Nurse | 3670 Parker Boulevard, Pueblo Medical Office, Pueblo, CO 81008 | 2009-08-27 |
| 1073710216 | Ursula Lynette Hollins | Licensed Practical Nurse | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2007-06-29 |
| 1851906390 | Jodi Spinuzzi | Licensed Practical Nurse | 275 W Abriendo Ave, Pueblo, CO 81004-1870 | 2020-09-11 |
| 1427515220 | Tiffany Getz | Licensed Practical Nurse | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2019-02-27 |
| 1063979862 | Chrystal Moon Nystuen | Licensed Practical Nurse | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2019-02-27 |
| 1184138158 | Dana G Lieser | Licensed Practical Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-11-28 |
| 1952829343 | Benjamin L Jones | Licensed Practical Nurse | 400 W 16th St, Pueblo, CO 81003-2781 | 2017-09-06 |
| 1831597657 | Mark Rudnik | Licensed Practical Nurse | 41 Montebello Rd, Suite Ll2, Pueblo, CO 81001-1379 | 2014-12-10 |
| 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.