MS. SHANA SE'RAE SANTISTEVAN (NPI# 1528611712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528611712 |
| Entity Type | Individual |
| Full Name | MS. SHANA SE'RAE SANTISTEVAN |
| Other Name | MS. SHANA SE'RAE RICHARDSON |
| Practice Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 7193845446 |
| Mailing Telephone | 7193845446 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0201923 | CO | Nursing Service Providers |
| Street Address |
711 BARNES AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1205446010 | Briana Christina Lynn | Social Worker | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-08-06 |
| 1841811254 | Brianne Dickinson | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1306467717 | Angelique Chavez | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1477195170 | Jonathon Michael Melendez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-10-14 |
| 1245880848 | Martin Valdez | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-09-16 |
| 1538624523 | Richard Keck | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-02-05 |
| 1396218475 | Austin Coy | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| 1053884130 | Adam Schafer | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257087 | Alice Catherine Harvey | Registered Nurse | 200 Main St Ste 200, Meeker, CO 81641-3354 | 2019-04-15 |
| 1265917215 | Jobeth Mills | Registered Nurse | 325 8th Street, Hugo, CO 80821 | 2018-09-26 |
| 1457848483 | Elizabeth Michelle Stoffel | Registered Nurse | 1225 Paragon Pl, Fort Collins, CO 80525-9127 | 2018-04-16 |
| 1134641632 | Ashley French-holt | Registered Nurse | 281 Sawyer Dr Ste 300, Durango, CO 81303-3412 | 2017-07-17 |
| 1801318407 | Teresa Littlefield | Registered Nurse | 4863 N Nevada Ave # 229, Colorado Springs, CO 80918-3951 | 2017-07-14 |
| 1043732092 | Jennifer Lynn Jones | Registered Nurse | 4863 N Nevada Ave # 224, Colorado Springs, CO 80918-3951 | 2017-07-12 |
| 1669920096 | Ryan Hedrick | Registered Nurse | 5156 E Atlantic Pl, Denver, CO 80222-4708 | 2016-09-14 |
| 1063875557 | James T Biel | Registered Nurse | 3855 Canyon Ranch Rd Unit 203, Highlands Ranch, CO 80126-6077 | 2016-04-01 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| 1730504861 | Carrie A Tobin | Registered Nurse | 817 W Oak St, Fort Collins, CO 80521-2513 | 2014-02-26 |
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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.