JAY A BALESTRIERI (NPI# 1063554426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063554426 |
| Entity Type | Individual |
| Full Name | JAY A BALESTRIERI |
| Credential | NP |
| Practice Address |
400 W 17th St Pueblo CO 81003-2649 |
| Mailing Address |
1235 N Blazing Trail Dr Pueblo West CO 81007-3934 |
| Practice Telephone | 7192966872 |
| Practice Fax Number | 7195830688 |
| Mailing Telephone | 7192512071 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 109032 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 69325561 | 05 |
| Street Address |
400 W 17TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194073775 | Health Solutions | Clinic/Center | 400 W 17th St, Pueblo, CO 81003-2649 | 2012-08-29 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288977 | Megan Jay Warden | Nurse Practitioner | 2099 W Us Highway 50 Ste 150-b, Pueblo, CO 81008-1665 | 2019-07-31 |
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1497178172 | Theresa Kuhn | Nurse Practitioner | 4112 Outlook Blvd Ste 325, Pueblo, CO 81008-1667 | 2014-01-30 |
| 1952579773 | Karen Delacruz | Nurse Practitioner | 902 Lakeview, Pueblo, CO 81004 | 2008-02-14 |
| 1700082021 | Christine Marie Cruz | Nurse Practitioner | 1406 W 17th St, Pueblo, CO 81003-1927 | 2007-06-24 |
| 1447331830 | Deborah Lynn Chase | Nurse Practitioner | 1925 E Orman Ave Ste 440, Pueblo, CO 81004-3551 | 2006-10-18 |
| 1043276686 | Carla R Beswick | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2006-04-22 |
| 1174124838 | Jenna Rawlings | Nurse Practitioner | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | 2020-11-07 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| 1972145928 | Seana Marie Maltezo | Nurse Practitioner | 400 W 16th St, Pueblo, CO 81003-2781 | 2019-10-10 |
| 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.