TESSA BOCCUMINI (NPI# 1265946388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265946388 |
| Entity Type | Individual |
| Full Name | TESSA BOCCUMINI |
| Credential | ATC |
| Practice Address |
2200 Bonforte Blvd Pueblo CO 81001-4901 |
| Practice Telephone | 7195492431 |
| Practice Fax Number | 7195492570 |
| Mailing Telephone | 7195492431 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.0001201 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2200 BONFORTE BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841263597 | Marie Lena Pickerill | Specialist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2006-02-10 |
| 1538760533 | Angelica Nava | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2020-11-05 |
| 1689229718 | Christina Marie Shepard | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2019-08-06 |
| 1588166524 | Daniel C Rodgers | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2018-03-06 |
| 1255845236 | Hannah Maria Comstock | Student in an Organized Health Care Education/Training Program | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-11-29 |
| 1124530555 | Natasha Balcom | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-10-25 |
| 1336651751 | Isabella Rose Lopez | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-10-25 |
| 1699287011 | Sierra Berger | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-10-25 |
| 1598277915 | Marc Anthony Cannella | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-10-25 |
| 1871005249 | Grace Laila Woern | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2017-10-25 |
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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 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629357 | Brianna Jo Markowski | Specialist/Technologist | 99 Cornell Cir, Pueblo, CO 81005-1645 | 2020-11-04 |
| 1376142703 | Jose Mariscal | Specialist/Technologist | 1817 Yakima Ln, Pueblo, CO 81001-1513 | 2020-10-16 |
| 1699381244 | Jacky Brenton | Specialist/Technologist | 3676 Parker Blvd Ste 310, Pueblo, CO 81008-2214 | 2020-09-18 |
| 1316415474 | Codi N Vigil | Specialist/Technologist | 1303 Gray Wolf Cir, Pueblo, CO 81001-4931 | 2018-11-07 |
| 1891214557 | Mary Kathryn Martinez | Specialist/Technologist | 1801 Hollywood Dr, Pueblo, CO 81005-2511 | 2017-09-13 |
| 1518345917 | Devin Hart | Specialist/Technologist | 2900 Cascade Ave, Pueblo, CO 81008-1240 | 2015-05-18 |
| 1669872594 | Blake Pollema | Specialist/Technologist | 1337 Gray Wolf Cir, Pueblo, CO 81001-4932 | 2014-08-28 |
| 1346663226 | Brittany Hoover | Specialist/Technologist | 216 E Orman Ave, Pueblo, CO 81004-2144 | 2014-01-28 |
| 1538760533 | Angelica Nava | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2020-11-05 |
| 1023667268 | Shelby Bley | Specialist/Technologist | 1050 35th Ln, Pueblo, CO 81006-9426 | 2019-09-10 |
| 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.