BEVERLY PRICE (NPI# 1003282047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003282047 |
| Entity Type | Individual |
| Full Name | BEVERLY PRICE |
| Practice Address |
1310 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7194231183 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538551742 | Beverly Price | Occupational Therapist | 2400 Clermont Center Dr, Batavia, OH 45103-1990 | 2015-02-25 |
| 1528290764 | Beverly Susan Price | Dietitian, Registered | 13123 Hart Ave, Huntington Woods, MI 48070-1010 | 2009-08-21 |
| 1982852240 | Beverly Lashun Price | Case Manager/Care Coordinator | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2008-08-28 |
| Street Address |
1310 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595565 | Valerie E Schuster | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2006-02-01 |
| 1669079554 | Health Solutions | Clinic/Center | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1982239067 | Jordan Drake | Case Manager/Care Coordinator | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2020-03-09 |
| 1154967990 | Jamie Trujillo | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-11-26 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1972061786 | Sarah Johnson | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-11 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1891251724 | Whitney White | Social Worker | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-02-15 |
| 1205332301 | Robyn Matkovich | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2018-04-05 |
| 1376045450 | Kevin Wayne Wood | Counselor | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2018-03-05 |
| Find all providers in the same location | ||||
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299725 | Mi Casa Transitional Services Inc | Peer Specialist | 1611 Crestmoor Dr, Pueblo, CO 81001-2727 | 2017-11-29 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1194350322 | Shannon Brooks | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-03-09 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1366949422 | Abraham Ortiz | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-06 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 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.