GINA M VALENTE-MOORE (NPI# 1336337484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336337484 |
| Entity Type | Individual |
| Full Name | GINA M VALENTE-MOORE |
| Credential | FNP |
| Practice Address |
18144 Seco St Jamestown CA 95327-9737 |
| Mailing Address |
Po Box 2493 Murphys CA 95247-2493 |
| Practice Telephone | 2099844820 |
| Practice Fax Number | 2099844825 |
| Mailing Telephone | 2097439234 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2011-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
543949 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | P00688230 | 05 |
| Street Address |
18144 SECO ST |
| City | JAMESTOWN |
| State | CA |
| Zip Code | 95327-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714937 | Haku Kevin Kahoano | Family Medicine | 18144 Seco St, Mathiesen Memorial Health Clinic, Jamestown, CA 95327-9737 | 2007-05-29 |
| 1548813017 | Kara Sigler | Registered Nurse | 18144 Seco St, Jamestown, CA 95327-9498 | 2019-07-23 |
| 1881179372 | Alexandra Maria Faria | Physician Assistant | 18144 Seco St, Jamestown, CA 95327-9498 | 2018-10-01 |
| 1952856502 | Weiya Douglas Lu | Registered Nurse | 18144 Seco St, Jamestown, CA 95327-9498 | 2016-08-23 |
| 1750737763 | David Benjamin Demattei | Physician Assistant | 18144 Seco St, Jamestown, CA 95327-9498 | 2016-05-09 |
| 1578961736 | Melissa Ann Ronneburg | Nurse Practitioner | 18144 Seco St, Jamestown, CA 95327-9498 | 2014-12-19 |
| 1235578311 | Dayna Decristoferi | Marriage & Family Therapist | 18144 Seco St, Jamestown, CA 95327-9737 | 2013-06-21 |
| 1497075790 | Ann Radford | Nurse Practitioner | 18144 Seco St, Jamestown, CA 95327-9737 | 2010-06-09 |
| 1255595484 | Mathiesen Memorial Health Clinic | Clinic/Center | 18144 Seco St, Jamestown, CA 95327-9737 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1760709935 | Nicole R Stevenson | Dental Assistant | 17922 Shell Road, Jamestown Road, CA 95327 | 2010-04-28 |
| 1326020710 | Russell Dean Park | Psychologist | 5100 O'byrnes Ferry Rd., Jamestown, CA 95327 | 2005-11-19 |
| 1831625102 | Richard Perry Halliburton | Psychologist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327 | 2017-05-05 |
| 1770690968 | Margaret L. Smith | Registered Nurse | 18189 Seco St., Jamestown, CA 95327-0950 | 2006-08-24 |
| 1932268646 | Michael A Backlund | Psychologist | 5100 O Brynes Ferry Rd, Jamestown, CA 95327-9102 | 2006-12-08 |
| 1255302022 | Blong Roger Ly | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2006-01-30 |
| 1710427778 | Sierra Conservation Center | Clinic/Center | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2017-02-24 |
| 1659628287 | Gary Collinsworth | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-08-14 |
| Find all providers in zip 95327 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| Find all providers in JAMESTOWN | ||||
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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.