JODEEN CARRILLO (NPI# 1942650478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650478 |
| Entity Type | Individual |
| Full Name | JODEEN CARRILLO |
| Credential | RN |
| Practice Address |
101 W 9th St Pueblo CO 81003-4103 |
| Practice Telephone | 7195834365 |
| Mailing Telephone | 7195834365 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 105237 | CO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07052376 | 05 |
| Street Address |
101 W 9TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225552169 | Nancy Lee Arellano | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2017-08-02 |
| 1700307337 | Maria C Cardenas | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2017-07-05 |
| 1265971667 | Gloria Aguirre | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2017-02-17 |
| 1962851246 | Desiree Wolfe | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2016-06-08 |
| 1871995571 | Zachery Van Ooyen | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2014-09-24 |
| 1265778062 | Jo Anne Miller | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2012-12-26 |
| 1205199718 | Jennifer Ward | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2012-06-19 |
| 1033405675 | Sandra Lee Hickman | Registered Nurse | 101 W 9th St, Pueblo, CO 81003-4103 | 2011-06-22 |
| 1457492746 | Brenda Sue Tracy | Registered Nurse | 101 W 9th St, Pcchd, Pueblo, CO 81003-4103 | 2007-02-09 |
| 1245228022 | Pueblo Department of Public Health and Environment | Clinic/Center | 101 W 9th St, Pueblo, CO 81003-4103 | 2005-10-06 |
| Find all providers in the same location | ||||
| 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 | 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.