SAMANTHA KELLER (NPI# 1013540434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013540434 |
| Entity Type | Individual |
| Full Name | SAMANTHA KELLER |
| Practice Address |
1302 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.1664391 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245604933 | Samantha Keller | Licensed Practical Nurse | 1022 Green Acres Rd, Eugene, OR 97408-6501 | 2015-11-18 |
| 1598146649 | Samantha Keller | Counselor | 85 Mechanic St, Suite 360, Lebanon, NH 03766-1537 | 2015-06-15 |
| 1407249121 | Samantha Keller | Midwife, Lay | 2650 E Broadview Ave, Wasilla, AK 99654-8302 | 2015-03-05 |
| Street Address |
1302 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487876 | Vanessa Benavidez | Specialist/Technologist, Other | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2006-11-24 |
| 1194326314 | Roland Valdez | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-11-04 |
| 1871191270 | Ariana Gallegos | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1083212492 | Nia Gomez | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-16 |
| 1396343513 | Kaylene Medina | Counselor | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1396342283 | Health Solutions | Clinic/Center | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1922617281 | Barbara Miller | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1790394062 | Jo Piano | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1427667708 | Reynalda Garoutte | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-23 |
| 1245848969 | Jennifer Andrews | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-20 |
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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 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1902413776 | Holly Laughlin | Registered Nurse | 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 | 2020-09-25 |
| 1891251153 | Melissa Rae Crespin | Registered Nurse | 1721 Kingsroyal Blvd, Pueblo, CO 81005-2173 | 2019-02-12 |
| 1861855785 | Kelly Lopez | Registered Nurse | 3019 4th Ave, Pueblo, CO 81008-1111 | 2016-03-29 |
| 1548650062 | Brett Mach | Registered Nurse | 219 W Orman Ave, Pueblo, CO 81004-1837 | 2015-02-04 |
| 1881083632 | Suzanne Masias | Registered Nurse | 6 Woodbridge Pl, Pueblo, CO 81001-1417 | 2015-01-16 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1316379175 | Cheryl R Sivels | Registered Nurse | 41 Montebello Rd Ste 200, Pueblo, CO 81001-1366 | 2013-08-05 |
| 1609114792 | Deborah Jane Moore | Registered Nurse | 172 Fordham Cir, Pueblo, CO 81005-1649 | 2013-01-23 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
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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.