KRISTINA REAVIS (NPI# 1992327217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992327217 |
| Entity Type | Individual |
| Full Name | KRISTINA REAVIS |
| Credential | APN |
| Practice Address |
400 W 16th St Pueblo CO 81003-2781 |
| Mailing Address |
312 Michigan Ave Manitou Springs CO 80829-1637 |
| Practice Telephone | 7196598141 |
| Mailing Telephone | 7196598141 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
995088 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
995088 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 W 16TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700694 | James E Caldwell | Anesthesiology | 400 W 16th St, Pueblo, CO 81003-2745 | 2005-06-17 |
| 1174137806 | Pediatrix Medical Group of Colorado, P.C. | Pediatrics | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-09-01 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1467083881 | Erik Matthews Wickstrum | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-02-04 |
| 1497385082 | Sean Jastillano | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-22 |
| 1417597287 | Zainab Adeyemo | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-01-09 |
| 1265071658 | Victoria Louise Farnsworth | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-01-02 |
| 1205479557 | Brandis Courtney Montez | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2019-10-18 |
| 1750923199 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-10-16 |
| 1154963130 | Parkview Ancillary Services | Hospitalist | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104244 | Nicole Bartolo | Nurse Practitioner | 2152 Gale Rd, Pueblo, CO 81006-1933 | 2020-01-31 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1518206531 | Christopher Dean Trujillo | Nurse Practitioner | 111 W Evans Ave, Pueblo, CO 81004 | 2013-02-11 |
| 1558554188 | Gregory Charles Grahek | Nurse Practitioner | 1925 E Orman Ave Ste A535, Pueblo, CO 81004-3559 | 2007-08-27 |
| 1780703421 | Anna Mae Martinez | Nurse Practitioner | 416 Colorado Ave, Pueblo, CO 81004-2011 | 2007-03-27 |
| 1447319363 | Rose Wertz | Nurse Practitioner | 1925 E Orman Ave Ste A235, Pueblo, CO 81004-3556 | 2006-12-06 |
| 1730657636 | Marquez Family Medicine, Ltd. | Nurse Practitioner | 1910 Lake Ave, Pueblo, CO 81004-3322 | 2018-11-08 |
| 1790253128 | Amber Doss | Nurse Practitioner | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2018-11-03 |
| 1346718855 | Jamison Robert Lester | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2018-11-02 |
| 1154898914 | Daniel Emilio Marquez | Nurse Practitioner | 201 Lamkin St Apt 101, Pueblo, CO 81003-3558 | 2018-10-30 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on KRISTINA REAVIS.
| 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.