REBECCA SHIELDS (NPI# 1649620691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649620691 |
| Entity Type | Individual |
| Full Name | REBECCA SHIELDS |
| Practice Address |
2554 Palmer Park Blvd Colorado Springs CO 80909-3058 |
| Practice Telephone | 7196341851 |
| Mailing Telephone | 7196341851 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 99687569 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609120161 | Rebecca Lynn Shields | Registered Nurse | 1200 S 9th St, Watertown, WI 53094-6604 | 2012-11-06 |
| 1811267255 | Rebecca Ann Shields | Ophthalmology | 1497 3rd Ave, Apt 3c, New York, NY 10028-2117 | 2012-01-03 |
| 1689283376 | Rebecca Shields | Physical Therapy Assistant | 203 W Jefferson St, Kosciusko, MS 39090-3620 | 2020-07-28 |
| 1730712027 | Rebecca Tucker Shields | Massage Therapist | 9 Monroe St, Ellicottville, NY 14731-9607 | 2020-02-15 |
| 1497289045 | Rebecca Shields | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2017-04-19 |
| 1689059339 | Rebecca Shields | Marriage & Family Therapist | 170 Bennett St, Bridgeport, CT 06605-2901 | 2015-07-23 |
| Street Address |
2554 PALMER PARK BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659856516 | New Vision Professional Services LLC | Day Training, Developmentally Disabled Services | 2554 Palmer Park Blvd, Colorado Springs, CO 80909-3058 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172148 | Abigail Esparza Solis | Peer Specialist | 4570 Hilton Pkwy, Colorado Springs, CO 80907-3551 | 2020-04-03 |
| 1083257794 | Tyrone Kunta Thibou | Peer Specialist | 4570 Hilton Pkwy, Colorado Springs, CO 80907-3551 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739679 | Melissa L Lucero | Peer Specialist | 222 23rd Ave, Greeley, CO 80631-1854 | 2020-01-22 |
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1477194454 | Ronna Jo Wellman | Peer Specialist | 8110 River Run Dr, Greeley, CO 80634-9389 | 2019-10-01 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1871052993 | Laurie Ann Jones | Peer Specialist | 1025 14th St, Greeley, CO 80631-3866 | 2019-03-18 |
| 1588128326 | Robyn Stover | Peer Specialist | 1209 Tulip St, Longmont, CO 80501-3164 | 2019-01-25 |
| 1144702432 | Kylie Monson | Peer Specialist | 773 Calgary Way, Golden, CO 80401-9361 | 2018-09-04 |
| 1952882318 | Melody E Mesmer | Peer Specialist | 34 Van Gordon St Ste 210, Lakewood, CO 80228-1713 | 2018-08-23 |
| 1114432515 | Brittany Lauren Hoffman | Peer Specialist | 7703 W 55th Ave Apt 202, Arvada, CO 80002-3683 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.