DR. ANDI WOODBURY (NPI# 1306107388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306107388 |
| Entity Type | Individual |
| Full Name | DR. ANDI WOODBURY |
| Credential | D.O. |
| Practice Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DR..0056439 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
41 MONTEBELLO RD SUITE 200 |
| 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 |
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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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1740409812 | Newpath Behavioral Rehabilitation Center | Psychiatry & Neurology | 128 S Union Ave, Suite C, Pueblo, CO 81003-3443 | 2007-04-25 |
| 1912028564 | Southern Colorado Psychiatric P.C. | Psychiatry & Neurology | 1925 E Orman Ave Ste G12, Pueblo, CO 81004-3563 | 2007-04-02 |
| 1134280662 | Shari A Blackmon | Psychiatry & Neurology | 400 W. 16th, Pueblo, CO 81003 | 2006-12-12 |
| 1093743247 | Susan R. Middleton | Psychiatry & Neurology | 56 Club Manor Dr, Pueblo, CO 81008-1679 | 2006-06-28 |
| 1053348797 | Sharon Ann Allen | Psychiatry & Neurology | 909 Court Street, Pueblo, CO 81003-2968 | 2006-06-27 |
| 1891739975 | Graham Walter Hoffman | Psychiatry & Neurology | San Carlos Correctional Facility, 1410 W. 13th Street, Pueblo, CO 81003 | 2006-06-16 |
| 1962466110 | Artin Terhakopian | Psychiatry & Neurology | 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 | 2006-04-14 |
| 1487617320 | William Douglas Leusink | Psychiatry & Neurology | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-04-11 |
| 1427048917 | Lennart Rolf Abel | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2005-10-26 |
| 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.