KURT K. BACA (NPI# 1376565481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376565481 |
| Entity Type | Individual |
| Full Name | KURT K. BACA |
| Practice Address |
1600 W 24th St Pueblo CO 81003-1411 |
| Practice Telephone | 7195464000 |
| Mailing Telephone | 7195464000 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 W 24TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048917 | Lennart Rolf Abel | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2005-10-26 |
| 1306321294 | Cher Li Ang | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1499 | 2018-09-26 |
| 1255815668 | Kalpana Narayanan Nair | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2018-09-21 |
| 1336651884 | Susan Oehler | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-10-24 |
| 1851831846 | Annabelle Florez | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-02-24 |
| 1114478245 | Miriam Suzanne Scott | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2016-10-24 |
| 1558746362 | Ryan Stanton Morris | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2015-07-22 |
| 1942691365 | Niesa Parmelee | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2015-02-06 |
| 1336547090 | Devona Marie Walter | Social Worker | 1600 W 24th St, Pueblo, CO 81003-1411 | 2014-12-11 |
| 1871918037 | Regan Young | Counselor | 1600 W 24th St, Pueblo, CO 81003-1411 | 2014-02-25 |
| Find all providers in the same location | ||||
| 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 | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267555 | Dillon Everett Thomas | Recreation Therapist | 1224 Alexander Cir, Pueblo, CO 81001-2021 | 2020-08-28 |
| 1356555858 | Kerri L. Johnson | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2007-05-10 |
| 1255355962 | Scott D. Davis | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-26 |
| 1841214558 | Amy L. Ward | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-26 |
| 1952326175 | Leah M. Perry | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-12 |
| 1821023482 | Rochelle J. Beier-kemmet | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-12 |
| 1568496289 | Shannon D. Williams | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-10 |
| 1427081397 | Michael D. Dufauchard | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-07 |
| 1194755405 | Traci A. Peterson | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-07-03 |
| 1407884398 | Lynn D. Brown | Recreation Therapist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-06-29 |
| 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.