NICOLE BETTS (NPI# 1417327461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417327461 |
| Entity Type | Individual |
| Full Name | NICOLE BETTS |
| Credential | AGNP-C |
| Practice Address |
1310 Fortino Blvd Ste D Pueblo CO 81008 |
| Mailing Address |
1310 Fortino Blvd Ste D Pueblo CO 81008-2076 |
| Practice Telephone | 7195821898 |
| Practice Fax Number | 7196214098 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN.0205125 | CO | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN.0992247-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN.0992247-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN.0992247-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 69120251 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497008940 | Nicole Betts | Social Worker | 68 Scituate Rd, York, ME 03909-5725 | 2012-10-22 |
| 1396092029 | Nicole Betts | Case Manager/Care Coordinator | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2012-08-13 |
| Street Address |
1310 FORTINO BLVD STE D |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677729 | Soco Primary Care Clinic | Nurse Practitioner | 1310 Fortino Blvd Ste D, Pueblo, CO 81008-2076 | 2019-09-06 |
| 1588223598 | Chelsea L Frey | Nurse Practitioner | 1310 Fortino Blvd Ste D, Pueblo, CO 81008-2076 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| 1063838415 | Regina Stephan | Occupational Therapist | 4776 Eagleridge Circle, Va Eastern Colorado Health Care System, Pueblo, CO 81008 | 2014-03-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487023313 | Allison Raphael Walmer | Nurse Practitioner | 1320 N Grand Ave., Pueblo, CO 81003-2762 | 2015-09-22 |
| 1013553098 | Margaret Brown Mays | Nurse Practitioner | 2099 W Us Highway 50, Pueblo, CO 81008-1672 | 2019-11-25 |
| 1386200442 | Kenyada Gilbert | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-05-14 |
| 1285140400 | Briana Belisle | Nurse Practitioner | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2017-12-26 |
| 1720385016 | Rocky Mountain Primary Care Clinic | Nurse Practitioner | 131 S Main St, Suite 101, Pueblo, CO 81003-3415 | 2011-02-22 |
| 1912923194 | Frances Marie Friel | Nurse Practitioner | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
| 1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
| 1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
| 1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
| 1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
| 1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
| 1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
| 1255981122 | Mary Jeal Carrasco | Nurse Practitioner | 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 | 2019-09-12 |
| 1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| 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.