STEVEN GALLEGOS (NPI# 1508116989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508116989 |
Entity Type | Individual |
Full Name | STEVEN GALLEGOS |
Credential | ACNP/FNP-BC |
Practice Address |
245 Vine Ave Las Animas CO 81054 |
Mailing Address |
128 Market St Alamosa CO 81101-2290 |
Practice Telephone | 7194562653 |
Practice Fax Number | 7194560105 |
Mailing Telephone | 7195895161 |
Mailing Fax Number | 7195895722 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2013-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP-10184 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-10184 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 58304568 | 05 |
Street Address |
245 VINE AVE |
City | LAS ANIMAS |
State | CO |
Zip Code | 81054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124015607 | Valley-wide Health Systems, Inc | Clinic/Center | 245 Vine Ave, Las Animas, CO 81054-1039 | 2005-09-30 |
1891241527 | Samantha Rae Didomenico | Dentist | 245 Vine Ave, Las Animas, CO 81054 | 2016-09-01 |
1982998472 | Valley-wide Health Systems, Inc. | Clinic/Center | 245 Vine Ave, Las Animas, CO 81054-1039 | 2011-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255615480 | Rayland Smith | Counselor | 623 Carson, Las Animas, CO 81054 | 2011-10-06 |
1396889879 | Pamela Kay Valdez | Chiropractor | 246 Bent Ave, Las Animas, CO 81054 | 2007-02-16 |
1760541452 | Family Medical Services | Clinic/Center | 810 Third Street, Las Animas, CO 81054 | 2006-12-08 |
1992768790 | Region Six Alcohol & Drug Abuse Inc. | Substance Abuse Rehabilitation Facility | 11,000 Road Gg.5, Las Animas, CO 81054 | 2006-04-11 |
1871661264 | David Oba | Family Medicine | 11560 County Route Ff0.75, Las Animas, CO 81054-0000 | 2006-12-01 |
1528282522 | Bent County Memorial Nursing Home | Assisted Living Facility | 810 3rd St, Las Animas, CO 81054-1002 | 2007-04-12 |
1033448170 | Prowers County Hospital District | Clinic/Center | 215 Maple Avenue, Las Animas, CO 81054-1029 | 2009-12-21 |
1821136698 | Karen L Donkle | Nurse Practitioner | 215 Maple Ave, Las Animas, CO 81054-1029 | 2007-02-02 |
1780754838 | County of Bent School District Re-1 | Local Education Agency (LEA) | 1021 2nd St, Las Animas, CO 81054-1094 | 2006-11-08 |
1972659027 | Pharmacy Services Inc | Pharmacy | 159 Bent Ave, Las Animas, CO 81054-1131 | 2007-01-25 |
Find all providers in zip 81054 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
Find all providers with the same taxonomy |
City | LAS ANIMAS |
Zip Code | 81054 |
Please comment or provide details below to improve the information on STEVEN GALLEGOS.
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.