KAYLA PREVIDI


Address: 415 N Grand Ave, Pueblo, CO 81003-3111
Phone: 7199248448

KAYLA PREVIDI (NPI# 1619416765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619416765
Entity Type Individual
Full Name KAYLA PREVIDI
Other Name KAYLA WAKEFIELD
Practice Address 415 N Grand Ave
Pueblo
CO 81003-3111
Practice Telephone 7199248448
Mailing Telephone 7193519764
Enumeration Date 2017-02-21
Last Update Date 2019-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0992910 CO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
314 W 16th St, Pueblo, CO 810032728 7195463511

Office Location

Street Address 415 N GRAND AVE
City PUEBLO
State CO
Zip Code 81003-3111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881839694 Bryan A Hynes Family Medicine 415 N Grand Ave, Pueblo, CO 81003-3111 2008-12-08
1619510815 Erika J Valdez Nurse Practitioner 415 N Grand Ave, Pueblo, CO 81003-3111 2019-10-21
1134644594 Katherine R Derossett Nurse Practitioner 415 N Grand Ave, Pueblo, CO 81003-3111 2017-08-07
1700322575 Champions Family Medical, Pllc Legal Medicine 415 N Grand Ave, Pueblo, CO 81003-3111 2017-01-17
1689991937 Skin Care Now Pueblo, Pllc Legal Medicine 415 N Grand Ave, Pueblo, CO 81003-3111 2010-04-27

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708872 Carla E Paredes Diaz Nurse Practitioner 2215 South Dr, Pueblo, CO 81008-1755 2020-10-21
1902435506 Brandi Lanae Trujillo Nurse Practitioner 3107 E Spaulding Ave Unit 202, Pueblo, CO 81008-5219 2020-04-06
1346883097 Parkview Ancillary Services Nurse Practitioner 1600 N Grand Ave Ste 210, Pueblo, CO 81003-2749 2019-10-25
1326535618 Amanda Michelle Meade Nurse Practitioner 201 Lamkin St Apt 101, Pueblo, CO 81003-3558 2018-04-23
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1255865713 Ideal Family Medicine, Ltd Nurse Practitioner 2016 S Pueblo Blvd, Pueblo, CO 81005-2546 2017-04-11
1154861995 Jade Bryant Nurse Practitioner 1910 Lake Ave, Pueblo, CO 81004-3322 2017-02-27
1558811950 Jane Graham Nurse Practitioner 1225 N Grand Ave, Pueblo, CO 81003-2845 2016-10-10
1124397559 Michelle Leann Hartke Nurse Practitioner 1619 N Greenwood St Ste 208, Pueblo, CO 81003-2656 2011-12-14
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81003

Improve Information

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Dataset Information

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.

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