ALEXIS CORDOVA (NPI# 1851907802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851907802 |
| Entity Type | Individual |
| Full Name | ALEXIS CORDOVA |
| Practice Address |
1012 W Abriendo Ave Pueblo CO 81004-1128 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1012 W ABRIENDO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617320 | William Douglas Leusink | Psychiatry & Neurology | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-04-11 |
| 1366043531 | Nicolle Mainthow | Marriage & Family Therapist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1790386894 | Bobbie Griffin | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1376144451 | Ruby Martinez | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1902407182 | Kevin Douglas | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1316545635 | Jessica Williams | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-09 |
| 1891392759 | Health Solutions | Clinic/Center | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-05 |
| 1366049322 | Lisa Frazier | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-10-02 |
| 1801402789 | Katrina Long | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-09-16 |
| 1316555139 | Sylvia Archuleta | Counselor | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-07-17 |
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| 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 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380319 | Andrea Vigil | Case Manager/Care Coordinator | 41 Montebello Rd Ste 100, Pueblo, CO 81001-1366 | 2019-08-06 |
| 1215300744 | Mary Sianez | Case Manager/Care Coordinator | 1612 Bonforte Blvd, Pueblo, CO 81001-1603 | 2015-11-05 |
| 1912505223 | Joseph Lucero | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-10-09 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1689285710 | Lori Pizarro | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-08-12 |
| 1194336271 | Brianna Wallace | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-08-12 |
| 1811505985 | Lindsay Carleton | Case Manager/Care Coordinator | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-15 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1609496322 | Danette Ballard | Case Manager/Care Coordinator | 1 Wellness Way, Pueblo, CO 81006-2103 | 2020-04-22 |
| 1982239067 | Jordan Drake | Case Manager/Care Coordinator | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2020-03-09 |
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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.