MS. TARA SMITH (NPI# 1861729659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861729659 |
| Entity Type | Individual |
| Full Name | MS. TARA SMITH |
| Credential | BS |
| Practice Address |
3470 Baltimore Ave Pueblo CO 81008-1520 |
| Practice Telephone | 7195619850 |
| Practice Fax Number | 7195454097 |
| Mailing Telephone | 7195619850 |
| Mailing Fax Number | 7195454097 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208777 | Tara Smith | Counselor | 3342 N 15th Ave, Phoenix, AZ 85015-5853 | 2020-06-04 |
| 1780232504 | Tara Susan Smith | Social Worker | 97b Old Pleasant St, Lee, MA 01238-9444 | 2019-08-27 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1184287864 | Tara A Smith | Counselor | 2970 Corporate Ct, Orefield, PA 18069-3158 | 2019-04-17 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1346753167 | Tara Shaaron Smith | Licensed Practical Nurse | 56 Aab St, Rochester, NY 14606-2445 | 2017-11-15 |
| 1841700036 | Tara Smith | Social Worker | 684 W Boughton Rd Ste D, Bolingbrook, IL 60440-1781 | 2017-10-03 |
| 1487170585 | Tara Smith | Behavior Technician | 4316 28th Pl Apt 1, Mount Rainier, MD 20712-1533 | 2017-08-21 |
| 1982051249 | Tara Lynn Smith | Physical Therapist | 2851 Matlock Rd Ste 600, Mansfield, TX 76063-5039 | 2016-05-17 |
| 1700249588 | Tara Smith | Physical Therapist | 1539 Kidd Rd, Jonesboro, GA 30236-3365 | 2016-03-30 |
| Street Address |
3470 BALTIMORE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1520 |
| 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 |
| 1770819393 | John Ryan Vialpando | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-02 |
| 1417281973 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-09-30 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619308350 | Greg Carbajal | Substance Abuse Rehabilitation Facility | 1625 Gaylord Ave, Pueblo, CO 81004-2660 | 2013-12-05 |
| 1487935144 | Southern Colorado Comprehensive Court Services | Substance Abuse Rehabilitation Facility | 200 W B St Ste 226, Pueblo, CO 81003-3574 | 2011-09-07 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1043512916 | Candace M Olguin | Substance Abuse Rehabilitation Facility | 2039 E 10th St, Pueblo, CO 81001-3421 | 2010-11-29 |
| 1316909732 | Crossroads' Turning Points | Substance Abuse Rehabilitation Facility | 509 E 13th St Bldg B, Pueblo, CO 81001-2940 | 2006-04-03 |
| 1831543248 | Christopher Romero | Substance Abuse Rehabilitation Facility | 509 E 13th St, Pueblo, CO 81001-2940 | 2016-04-21 |
| 1447533609 | Crossroads Turning Points | Substance Abuse Rehabilitation Facility | 1711 E Evans Ave, 4 Montelbello Road, Pueblo, CO 81004-3349 | 2011-09-23 |
| 1619272754 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 509 E 13th St, A-wm, Pueblo, CO 81001-2940 | 2011-01-21 |
| 1710282017 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 3500 Baltimore Ave, Pueblo, CO 81008-1543 | 2011-01-18 |
| 1770819393 | John Ryan Vialpando | Substance Abuse Rehabilitation Facility | 3470 Baltimore Ave, Pueblo, CO 81008-1520 | 2009-11-02 |
| 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.