KELLEY REVELS (NPI# 1720500952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720500952 |
| Entity Type | Individual |
| Full Name | KELLEY REVELS |
| Credential | RN |
| Practice Address |
2429 S Prairie Ave Pueblo CO 81005-2886 |
| Practice Telephone | (719) 564-5070 |
| Practice Fax Number | 7198962874 |
| Mailing Telephone | 7195645070 |
| Mailing Fax Number | 7198962874 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.1616979 | CO | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Latigo Ln Ste G, Canon City, CO 812128113 | 7192750700 | 7198962874 |
| Street Address |
2429 S PRAIRIE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1316588445 | Karla Lee Scull | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2019-09-30 |
| 1821569955 | Megan Lynn Garcia | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-16 |
| 1023589447 | Xaviera Turner | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-11 |
| 1518438928 | Brielle Byrd | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-10 |
| 1407330368 | Justin P Genova | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1205310216 | Laura Padilla | Marriage & Family Therapist | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1184138158 | Dana G Lieser | Licensed Practical Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-11-28 |
| 1487106365 | Stacie Marie Gonzales | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2016-10-26 |
| 1740738921 | Tyleen Irene Sandstrom | Social Worker | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2016-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| 1114009198 | Senior Harbors, Inc. | Psychologist | 2118 Chatalet Lane, Pueblo, CO 81005 | 2006-10-19 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1902413776 | Holly Laughlin | Registered Nurse | 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 | 2020-09-25 |
| 1891251153 | Melissa Rae Crespin | Registered Nurse | 1721 Kingsroyal Blvd, Pueblo, CO 81005-2173 | 2019-02-12 |
| 1861855785 | Kelly Lopez | Registered Nurse | 3019 4th Ave, Pueblo, CO 81008-1111 | 2016-03-29 |
| 1548650062 | Brett Mach | Registered Nurse | 219 W Orman Ave, Pueblo, CO 81004-1837 | 2015-02-04 |
| 1881083632 | Suzanne Masias | Registered Nurse | 6 Woodbridge Pl, Pueblo, CO 81001-1417 | 2015-01-16 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1316379175 | Cheryl R Sivels | Registered Nurse | 41 Montebello Rd Ste 200, Pueblo, CO 81001-1366 | 2013-08-05 |
| 1609114792 | Deborah Jane Moore | Registered Nurse | 172 Fordham Cir, Pueblo, CO 81005-1649 | 2013-01-23 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 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.