DR. BLANCA IVELISSE OSORIO (NPI# 1962566166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962566166 |
| Entity Type | Individual |
| Full Name | DR. BLANCA IVELISSE OSORIO |
| Other Name | DR. BLANCA I OSORIO CANDELARIA |
| Credential | M.D |
| Practice Address |
501 S Burma Ave Gillette WY 82716-3426 |
| Mailing Address |
Po Box 3011 Gillette WY 82717-3011 |
| Practice Telephone | 3076885000 |
| Practice Fax Number | 3076885015 |
| Mailing Telephone | 3076885000 |
| Mailing Fax Number | 3076885015 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9490A | WY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD 206513 | LA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
TL2329 | WY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD 206513 | LA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 13847 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
501 S BURMA AVE |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257720 | Alan L Mitchell | Radiology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2005-07-01 |
| 1730796087 | Jenae Elizabeth Schoenike | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-09-29 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1396354221 | Nancy Dillie | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-27 |
| 1538777800 | Devin Rae Vance | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1851909295 | Barry Shannon | Case Manager/Care Coordinator | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1255949525 | Lisa Jackson-eldridge | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-22 |
| 1083222483 | Derek Friedlan | Social Worker | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-07-21 |
| 1295377414 | Charmaine Abigan Jaiver | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-10-09 |
| 1841844172 | Daniel Bryan Rust | Registered Nurse | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083855316 | Wojciech Zolcik, M.d., P.C. | Psychiatry & Neurology | 113 S Gillette Ave, Suite 200, Gillette, WY 82716-3740 | 2009-03-17 |
| 1205910643 | Mark W Walter | Psychiatry & Neurology | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689854523 | Robert J Brock Md PC | Psychiatry & Neurology | 480 S Cache, Jackson, WY 83001-0941 | 2007-11-08 |
| 1104047547 | Mark D. Vuolo | Psychiatry & Neurology | 300 S Wolcott St, Suite 330, Casper, WY 82601-2862 | 2007-05-02 |
| 1336362680 | Harbans Singh Hans | Psychiatry & Neurology | 120 Aspen Cir, Torrington, WY 82240-3703 | 2007-04-11 |
| 1619097755 | Attention Homes, Inc. | Psychiatry & Neurology | 714 W Fox Farm Rd, Cheyenne, WY 82007-2360 | 2007-03-30 |
| 1306936117 | Dawn Lynn Stewart | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-10-13 |
| 1194816439 | Matthew V Hopkins | Psychiatry & Neurology | 702 Platinum Dr, Cody, WY 82414-3420 | 2006-09-28 |
| 1942257548 | Philip William Girling | Psychiatry & Neurology | 140 E Broadway Ave, Jackson, WY 83001-8632 | 2006-05-28 |
| 1578529491 | James Kevin Robinett | Psychiatry & Neurology | 2526 Seymour Avenue, Peak Wellness Center, Cheyenne, WY 82001 | 2006-04-21 |
| 1851366314 | Scott Pollard | Psychiatry & Neurology | 424 Yellowstone Ave. Ste 220, Cody, WY 82414 | 2006-02-20 |
| 1336111509 | John Batterson Stetson V | Psychiatry & Neurology | 6900 Alden Drive, Attn: 90 Mdos/sgow - Mental Health, Fe Warren Afb, WY 82005-3913 | 2006-02-02 |
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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.