LIBERTY ANGEL RUIZ (NPI# 1700445467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700445467 |
| Entity Type | Individual |
| Full Name | LIBERTY ANGEL RUIZ |
| Credential | AGPCNP |
| Practice Address |
300 Colorado Ave Pueblo CO 81004-2006 |
| Mailing Address |
2423 Snow Cap Ct Colorado Springs CO 80915-1982 |
| Practice Telephone | 7195438711 |
| Mailing Telephone | 7193593913 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN.0994697-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN.0994697-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 COLORADO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245139 | Brett L Hulet | Obstetrics & Gynecology | 300 Colorado Ave, Pueblo, CO 81004 | 2005-09-19 |
| 1487279659 | Christi Lyn Bader | Registered Nurse | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-06-12 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| 1497391643 | Martin W Chrisman | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-11-22 |
| 1578121810 | Samuel Joseph Taibi | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-02 |
| 1386200442 | Kenyada Gilbert | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-05-14 |
| 1659935401 | Christina M Wooters-eck | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-26 |
| 1710449004 | Theresa M Chavez | Counselor | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-04 |
| 1194280701 | Lindsey Brooke Smith | Student in an Organized Health Care Education/Training Program | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-02-07 |
| 1013401967 | Abigail Kristin Arinder | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2018-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749778 | Jaydene Mason | Nurse Practitioner | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2006-04-14 |
| 1013486299 | Coral Breanne Martinez | Nurse Practitioner | 1600 N Grand Ave Ste 150, Pueblo, CO 81003-2755 | 2018-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504978 | Mary Margaret Krzystowczyk | Nurse Practitioner | 930 N Logan St Apt 1/2, Denver, CO 80203-3193 | 2020-10-02 |
| 1225635477 | Shannan Rene Bryant | Nurse Practitioner | 950 E Harvard Ave Ste 320, Denver, CO 80210-7005 | 2020-10-01 |
| 1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
| 1295240380 | Audra Roosen | Nurse Practitioner | 1221 Timbervale Trl, Highlands Ranch, CO 80129-6946 | 2017-12-11 |
| 1134654916 | Jennifer Kahan | Nurse Practitioner | 18515 Peaceful Pines Rd, Monument, CO 80132-8368 | 2017-04-28 |
| 1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
| 1467846600 | Cammie Rausch | Nurse Practitioner | 3885 Upham St Ste 100, Wheat Ridge, CO 80033-4800 | 2015-03-25 |
| 1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
| 1962745448 | Sarah Anne Hicks | Nurse Practitioner | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-03 |
| 1104102003 | Tricia Lea Vath | Nurse Practitioner | 8510 Bryant St Ste 350, Westminster, CO 80031-3845 | 2011-10-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERTY ANGEL RUIZ.
| 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.