MARY MONTEZ (NPI# 1982972709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982972709 |
| Entity Type | Individual |
| Full Name | MARY MONTEZ |
| Practice Address |
41 Montebello Rd Suite Ll2 Pueblo CO 81001-1379 |
| Mailing Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195429347 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2011-12-07 |
| 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 |
|---|---|---|---|---|
| 1114294675 | Mary Patricia Montez | Pharmacist | 751 South Bascom Ave, San Jose, CA 95128-2604 | 2011-11-28 |
| Street Address |
41 MONTEBELLO RD SUITE LL2 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679674147 | Jason Chippeaux | Social Worker | 41 Montebello Rd, Suite 202, Pueblo, CO 81001-1379 | 2006-09-26 |
| 1700483187 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-08 |
| 1952908840 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-05 |
| 1912465493 | Jim Gray | Social Worker | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-03-04 |
| 1528524592 | Christine Foster | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-14 |
| 1750846192 | Caitlin Juliano | Counselor | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-08 |
| 1518485069 | Lisa Noel Ulibarri | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2017-09-05 |
| 1417483835 | Melissa Bruce | Case Manager/Care Coordinator | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-05-04 |
| 1265972780 | Dirk Rasmussen | Registered Nurse | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-03-02 |
| 1194263723 | Eugenia Weaver | Peer Specialist | 41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379 | 2017-02-02 |
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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 |
| Find all providers in zip 81001 | ||||
| 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 |
| 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.