LYNN R LEYBA (NPI# 1891721437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891721437 |
| Entity Type | Individual |
| Full Name | LYNN R LEYBA |
| Credential | NP, CNM |
| Practice Address |
1008 N Grand Ave Pueblo CO 81003-2916 |
| Mailing Address |
110 E Routt Ave Pueblo CO 81004-2117 |
| Practice Telephone | 7195438711 |
| Mailing Telephone | (719) 543-8711 |
| Mailing Fax Number | 7195435340 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
APN.0990713-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 119829 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02455340 | 05 | |
| CO | MEDICARE PTAN | 311836YLQP | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Colorado Ave, Pueblo, CO 810042006 | 7195438711 | 7195435340 |
| Street Address |
1008 N GRAND AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144589425 | Pueblo Community Health Center, Inc | Clinic/Center | 1008 N Grand Ave, Pueblo, CO 81003-2916 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706502 | Jenielle Daugherty | Clinical Nurse Specialist | 4100 Briargate Parkway, Suite #300, Colorado Springs, CO 80920 | 2016-08-29 |
| 1558735696 | Silver Lining Advanced Life Planning LLC | Clinical Nurse Specialist | 215 N Linden St Ste E, Cortez, CO 81321-2700 | 2015-11-29 |
| 1538472832 | Jessica Lynn Dreiling | Clinical Nurse Specialist | 7735 W Long Dr Unit 11, Suite 105, Littleton, CO 80123-1262 | 2010-07-15 |
| 1538652284 | Ouray Family Medicine LLC | Clinical Nurse Specialist | 195 S Lena St Ste A, Ridgway, CO 81432-8973 | 2018-06-07 |
| 1760853600 | Robert Facer Jensen | Clinical Nurse Specialist | 6071 E Woodmen Rd Ste 105, Colorado Springs, CO 80923-2610 | 2015-10-19 |
| 1033554233 | Delta Health and Wellness Center | Clinical Nurse Specialist | 1025 Main Street, Delta, CO 81416 | 2013-05-02 |
| 1194064634 | Sandra Mcguire | Clinical Nurse Specialist | 507 Central Avenue, Dolores, CO 81323 | 2013-02-04 |
| 1699050583 | Jessica M Johnston | Clinical Nurse Specialist | 360 Peak One Dr., Frisco, CO 80443 | 2011-10-11 |
| 1447414172 | Cheyenne Mountain Family Practice | Clinical Nurse Specialist | 125 Swope Ave, Colorado Springs, CO 80909-5832 | 2008-07-11 |
| 1275716276 | Betty Ann Sparks | Clinical Nurse Specialist | 155 Printers Pkwy, Suite 250, Colorado Springs, CO 80910-6100 | 2007-12-12 |
| Find all providers with the same taxonomy | ||||
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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.