| Meagan Leigh Hastie, | |
| 
					1600 W 24th St, Pueblo, CO 81003-1499  | |
| (719) 650-5651 | |
| Not Available | 
| Full Name | Meagan Leigh Hastie | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1600 W 24th St, Pueblo, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689137952 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.0204928 (Colorado) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0997324-NP (Colorado) | Primary | 
| Entity Name | Impact Psychiatric Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871035543 PECOS PAC ID: 3870870710 Enrollment ID: O20170503000259  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Meagan Leigh Hastie, Po Box 846, Green Mountain Falls, CO 80819-0846 Ph: (719) 650-5651  | Meagan Leigh Hastie, 1600 W 24th St, Pueblo, CO 81003-1499 Ph: (719) 650-5651  | 
Paula Jiron-finn, ACNP/FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003 Phone: 719-543-8346 Fax: 719-545-1829  | |
Brian C White, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003 Phone: 719-225-0637  | |
Monica A Flynn, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110  | |
Coral Breanne Martinez,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003 Phone: 719-595-7680  | |
Alexandria Brook Davis-mitchell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montebello Rd Ste 116, Pueblo, CO 81001 Phone: 719-423-1500  | |
Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340  | |
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900  |