DEEPA NAGARAJA (NPI# 1396009734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396009734 |
| Entity Type | Individual |
| Full Name | DEEPA NAGARAJA |
| Credential | MD |
| Practice Address |
3426 Lake Ave Ste 120 Pueblo CO 81004-3878 |
| Practice Telephone | 7195615264 |
| Mailing Telephone | 7195615264 |
| Mailing Fax Number | 7195615272 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
DR.0059953 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
3426 LAKE AVE STE 120 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578973319 | Cassie Lynn Yanker | Dietitian, Registered | 3426 Lake Ave Ste 120, Pueblo, CO 81004-3878 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851738 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd # 100, Pueblo, CO 81008-2148 | 2020-11-04 |
| 1689274953 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd, Pueblo, CO 81008-2148 | 2020-10-27 |
| 1104824259 | Mark Phillip Albright | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| 1205919750 | Irina Vancea | Internal Medicine | 3426 Lake Ave, Ste 120, Pueblo, CO 81004-3877 | 2006-10-20 |
| 1952309817 | Stephen Theodore Brown | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-13 |
| 1477551521 | Scott William Harberts | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| 1295733350 | Stanley Carlos Sicher | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1417562943 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 11700 W 2nd Pl Ste 345, Lakewood, CO 80228-1710 | 2020-09-11 |
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1336754860 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 1960 Ken Pratt Blvd Ste B, Longmont, CO 80501-6092 | 2020-09-11 |
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1184261422 | Consultants In Nephrology and Hypertension Professional LLC | Internal Medicine | 2352 Meadows Blvd Ste 250, Castle Rock, CO 80109-8417 | 2019-12-05 |
| 1841728789 | Denver Nephrologists, PC | Internal Medicine | 130 Rampart Way Ste 300a, Denver, CO 80230-6454 | 2017-05-23 |
| 1508236910 | Mark Harrison | Internal Medicine | 546 14th St, Boulder, CO 80302-7806 | 2015-09-28 |
| 1396035341 | Andrew Eric Brookens | Internal Medicine | 1260 S Parker Rd # 202, Denver, CO 80231-8064 | 2011-04-12 |
| Find all providers with the same taxonomy | ||||
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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.