MR. DYLAN B DEVRIES (NPI# 1770760365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770760365 |
| Entity Type | Individual |
| Full Name | MR. DYLAN B DEVRIES |
| Credential | PA |
| Practice Address |
110 E Routt Ave Pueblo CO 81004-2117 |
| Mailing Address |
1302 E 5th St Pueblo CO 81001-3754 |
| Practice Telephone | 7195438711 |
| Practice Fax Number | 7195430171 |
| Mailing Telephone | 7195438711 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004735 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 E ROUTT AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790711331 | Kim K Mcmanaman | Advanced Practice Midwife | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2006-06-24 |
| 1164906194 | Lisa M Rich | Midwife | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2018-09-15 |
| 1467966440 | Toni Boyko | Physician Assistant | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-11-28 |
| 1124538186 | Richelle Brown | Counselor | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-10-04 |
| 1649797804 | Dana Alice Zuidema | Nurse Practitioner | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2017-08-28 |
| 1124575956 | Shawnna Rashelle Mehlhose | Pharmacist | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2016-09-09 |
| 1417404906 | Ansley Smitherman | Nurse Practitioner | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2016-09-01 |
| 1598148298 | Brett W. Skyba | Counselor | 110 E Routt Ave, Pueblo, CO 81004 | 2015-06-30 |
| 1477956258 | Nathan Isaac Carpenter | Physician Assistant | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2014-10-07 |
| 1215221320 | Charmayne N Sandoval | Counselor | 110 E Routt Ave, Pueblo, CO 81004-2117 | 2011-06-06 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685747 | Dayna Rae Hochevar | Physician Assistant | 602 Brown Ave, Pueblo, CO 81004 | 2012-11-26 |
| 1164584686 | Michael S Walsh | Physician Assistant | 3116 N. Elizabeth, Pueblo, CO 81008 | 2006-12-14 |
| 1669033973 | Shelby Subry | Physician Assistant | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-06-26 |
| 1003342981 | Vi T Pham | Physician Assistant | 1080 Chinook Ln, Pueblo, CO 81001-1850 | 2017-05-11 |
| 1679922777 | Gary Anthony Serravo | Physician Assistant | 400 W 16th St, Pueblo, CO 81003-2745 | 2016-06-09 |
| 1588057319 | James Richard Anderson | Physician Assistant | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2015-03-18 |
| 1285040196 | Brittany Stadterman | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2014-07-11 |
| 1023342961 | Juan Carlos Herraez Sanchez | Physician Assistant | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2009-09-24 |
| 1083869754 | Ginger Rae Todd | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2008-11-22 |
| 1093982647 | Nancy Waller | Physician Assistant | 1339 S Pueblo Blvd, Pueblo, CO 81005-1508 | 2008-05-13 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on MR. DYLAN B DEVRIES.
| 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.