BRIAN DAVIS (NPI# 1619432648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619432648 |
| Entity Type | Individual |
| Full Name | BRIAN DAVIS |
| Practice Address |
1304 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018075 | Brian Davis | Specialist/Technologist | 127 Taylor Ave, Wheeling, WV 26003-5459 | 2019-02-07 |
| 1881178796 | Brian Wayne Davis | Occupational Therapy Assistant | 20 W Frazier St, Smyrna, DE 19977-1416 | 2018-09-18 |
| 1750863296 | Brian Davis | Technician | 320 Annabelle Ln Apt 112, Henderson, NV 89014-7649 | 2018-08-31 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1124517818 | Brian J Davis | Home Health | 12730 Shaker Blvd Apt 1209, Cleveland, OH 44120-2062 | 2018-05-08 |
| 1134472855 | Brian Robert Davis | Physical Therapist | 253 6th Ave, Saint James, NY 11780-2707 | 2012-10-18 |
| 1295019016 | Brian A Davis | Specialist | 2222 Settlers Way Blvd, Apt 1415, Sugar Land, TX 77478-5262 | 2011-09-29 |
| 1285922294 | Brian Marshall Davis | Speech-Language Pathologist | 1518 Wood Ave, Chesapeake, VA 23325-4030 | 2011-07-12 |
| 1851680094 | Brian R Davis | Chiropractor | 1622 E North St, Ste 10, Greenville, SC 29607-1329 | 2011-03-28 |
| 1679882674 | Brian M. Davis | Occupational Therapist | 41 Pineland Dr, Suite 200, New Gloucester, ME 04260-5111 | 2010-09-25 |
| Street Address |
1304 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033165527 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2006-05-26 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1366049744 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-08 |
| 1225635113 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1033740600 | Danny Martinez | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1235760968 | Maegan Yoder | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1023673225 | Bambi Creek | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| 1730744848 | Sidney Mcendre | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1689103657 | Jordan Ami Dalton | Counselor | 41 Montebello Rd Ste 221, Pueblo, CO 81001-1366 | 2017-06-05 |
| 1720526742 | Raymond Mizer | Counselor | 4 Redondo Ln, Pueblo, CO 81005-2953 | 2017-02-09 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1417343013 | Denise O'cana | Counselor | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 | 2015-04-09 |
| 1932524394 | Karen Khaton | Counselor | 708 Santa Clara Ave, Pueblo, CO 81005-1554 | 2014-02-21 |
| 1447590849 | Teneisha Smith | Counselor | 2109 Chautard Dr, Pueblo, CO 81005-2612 | 2013-02-21 |
| 1871833442 | Josh Aguilar | Counselor | 525 W 9th St, Pueblo, Pueblo, CO 81003-2917 | 2013-02-19 |
| 1851614960 | Danita Jo Johnson | Counselor | 7 Loch Lomond Ln, Pueblo, CO 81001-1729 | 2010-03-03 |
| Find all providers in PUEBLO | ||||
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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.