TABATHA WILLS (NPI# 1205209111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205209111 |
| Entity Type | Individual |
| Full Name | TABATHA WILLS |
| Credential | RN |
| Practice Address |
41 Montebello Rd Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1622959 | CO | Nursing Service Providers |
| Street Address |
41 MONTEBELLO RD |
| 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 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649735663 | Shayla Fekety | Registered Nurse | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1366 | 2019-02-04 |
| 1316494149 | Claudia Rincon | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-09-09 |
| 1982050365 | Kayla Varela | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-05-04 |
| 1801258728 | Melissa Rivera | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-03-22 |
| 1376901397 | Jay Servey | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-02-04 |
| 1811355837 | Roberta Spangler | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2016-02-04 |
| 1588021745 | Maggie Schleifer | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2016-01-19 |
| 1417322579 | Danielle Predovich | Registered Nurse | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2015-12-01 |
| 1871966697 | Geraldine Montoya | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2015-11-02 |
| 1497128227 | Melissa Wissel | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2015-11-02 |
| 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.