MARY SIANEZ


Address: 1612 Bonforte Blvd, Pueblo, CO 81001-1603
Phone: 7195433600

MARY SIANEZ (NPI# 1215300744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215300744
Entity Type Individual
Full Name MARY SIANEZ
Practice Address 1612 Bonforte Blvd
Pueblo
CO 81001-1603
Mailing Address 21 Dundee Ln
Pueblo
CO 81001-1727
Practice Telephone 7195433600
Enumeration Date 2015-11-05
Last Update Date 2015-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator 86379755 CO Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 86379755 05

Office Location

Street Address 1612 BONFORTE BLVD
City PUEBLO
State CO
Zip Code 81001-1603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346615085 Premium Direct Care Providers Inc. Clinic/Center 1612 Bonforte Blvd, Pueblo, CO 81001-1603 2015-12-07

Providers in the same zip code

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 Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295380319 Andrea Vigil Case Manager/Care Coordinator 41 Montebello Rd Ste 100, Pueblo, CO 81001-1366 2019-08-06
1912505223 Joseph Lucero Case Manager/Care Coordinator 1 Wellness Way, Pueblo, CO 81006-2103 2020-10-09
1619575966 Samantha Luken Case Manager/Care Coordinator 1304 Chinook Ln, Pueblo, CO 81001-1851 2020-10-09
1851907802 Alexis Cordova Case Manager/Care Coordinator 1012 W Abriendo Ave, Pueblo, CO 81004-1128 2020-09-16
1689285710 Lori Pizarro Case Manager/Care Coordinator 1 Wellness Way, Pueblo, CO 81006-2103 2020-08-12
1194336271 Brianna Wallace Case Manager/Care Coordinator 1 Wellness Way, Pueblo, CO 81006-2103 2020-08-12
1811505985 Lindsay Carleton Case Manager/Care Coordinator 1302 Chinook Ln, Pueblo, CO 81001-1851 2020-07-15
1265050306 Rick Ramos Case Manager/Care Coordinator 1304 Chinook Ln, Pueblo, CO 81001-1851 2020-07-06
1609496322 Danette Ballard Case Manager/Care Coordinator 1 Wellness Way, Pueblo, CO 81006-2103 2020-04-22
1982239067 Jordan Drake Case Manager/Care Coordinator 1310 Chinook Ln, Pueblo, CO 81001-1851 2020-03-09
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81001

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Dataset Information

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.

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