EMILY RENEE MORENO (NPI# 1396098562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396098562 |
| Entity Type | Individual |
| Full Name | EMILY RENEE MORENO |
| Other Name | EMILY RENEE CUSICK |
| Credential | FNP |
| Practice Address |
1552 Nightfall Ln Chula Vista CA 91915-1950 |
| Mailing Address |
4004 Beyer Blvd San Ysidro CA 92173-2007 |
| Practice Telephone | 6195182438 |
| Practice Fax Number | 6194287952 |
| Mailing Telephone | 6196624100 |
| Mailing Fax Number | 6194287952 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 599565 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22468 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI NUMBER | 1396098562 | 01 |
| CA | MEDICAL LICENSE | 599565 | 01 |
| CA | NURSE PRACTITIONER FURNISHING/ CERTITFICATE | 22468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582962 | Emily Hutzayluk Moreno | Physical Therapist | 2920 N Stemmons Fwy, Dallas, TX 75247-6103 | 2017-07-27 |
| 1811346836 | Emily Margaret Moreno | Internal Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2016-06-09 |
| Street Address |
1552 NIGHTFALL LN |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992833859 | Cristeta D. Acayan | Nurse Practitioner | 1432 Long View Dr, Chula Vista, CA 91915-1667 | 2007-03-01 |
| 1073869145 | Michael Charles Owen | Nurse Practitioner | 251 Landis Ave, Chula Vista, CA 91910-2628 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
| 1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
| 1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
Please comment or provide details below to improve the information on EMILY RENEE MORENO.
| 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.