MICHELLE GRACIE MORENO


Address: 10125 Frazier Rd, Redding, CA 96003-9241
Phone: 5303568902

MICHELLE GRACIE MORENO (NPI# 1619501525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619501525
Entity Type Individual
Full Name MICHELLE GRACIE MORENO
Practice Address 10125 Frazier Rd
Redding
CA 96003-9241
Mailing Address 5734 Olive St
Anderson
CA 96007-8258
Practice Telephone 5303568902
Mailing Telephone 5304103624
Enumeration Date 2020-02-29
Last Update Date 2020-02-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers MICHELLE MORENO

NPI Name Taxonomy Address Enumeration
1689910614 Michelle Eugenia Moreno Licensed Vocational Nurse 2300 S Lewis St Spc 70, Anaheim, CA 92802-5017 2012-12-19
1710528930 Michelle Moreno Technician 23880 Scarlet Oak Dr, Murrieta, CA 92562-5084 2019-09-30
1184193625 Michelle Stacy Moreno Case Manager/Care Coordinator 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 2018-11-14
1538647680 Michelle Moreno Counselor 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 2018-08-01
1013426683 Michelle Elise Moreno Physician Assistant 100 E 77th St, New York, NY 10075-1850 2017-09-26
1407223373 Michelle Moreno Dental Hygienist 6 102nd St, Troy, NY 12180-1152 2015-08-27
1710241310 Michelle Moreno Social Worker 615 13th St, Suite B, Modesto, CA 95354-2456 2012-06-28
1174769434 Michelle Moreno Family Medicine 1400 S Arlington St Unit 38, Akron, OH 44306-3771 2008-12-16
1407050362 Michelle Moreno Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2007-06-13

Office Location

Street Address 10125 FRAZIER RD
City REDDING
State CA
Zip Code 96003-9241

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144882309 Patricia Price Social Worker 2280 Benton Dr Building C, Suite A, Redding, CA 96003 2019-07-08
1487102745 Jill Marie Shepherd Piercy Clark Psychologist 1465 Victor Ave Ste B, Redding, CA 96003 2016-09-15
1811344450 Roger Milton Slagle Social Worker 999 Mission De Oro Dr Ste 103, Redding, CA 96003 2016-05-23
1265713812 Tesha Marie Huston Pharmacist 975 Cypress Ave, Redding, CA 96003 2011-09-08
1861717605 Western Physical Therapy Inc Physical Therapist 1495 Victor Ave, Suite D, Redding, CA 96003 2010-04-05
1013230036 Douglas Norman Porter Psychologist 748 North Market St., Redding, CA 96003 2010-03-04
1821232877 Express Medi-trans, Inc. Non-emergency Medical Transport (VAN) 2985 Innsbruck Dr, Redding, CA 96003 2009-04-21
1235393000 Bridget Gabrielle Young Physical Therapist 2021 Benton Dr, Redding, CA 96003 2008-07-10
1447427406 Terra Bella Communities Nursing Facility/Intermediate Care Facility 280 Riverpark Drive, Redding, CA 96003 2008-05-09
1588830657 Terra Bella Communities Intermediate Care Facility, Mentally Retarded 237 Shadowrun Ct., Redding, CA 96003 2008-05-07
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255974812 Alicia Renae Abramenko Technician 617 Loma Vista Dr, Redding, CA 96002-3115 2019-10-25
1396388534 Rebecca Ann Lee Technician 6489 Lucerne Ct, Redding, CA 96001-5054 2019-10-21
1538700349 Judy Lyn Lee Technician 21299 Old 44 Dr, Redding, CA 96003-7987 2019-10-02
1881244721 Sally Ernst Peterson Technician 3025 Misty Glen Dr, Redding, CA 96001-5719 2019-09-12
1891338992 Nancy Sesher Technician 6489 Lucerne Ct, Redding, CA 96001-5054 2019-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487691 Hine Maumalanga Technician 1094 Folsom Ave, Hayward, CA 94544-5704 2020-11-05
1649871765 Charles Leroy Appleberry II Technician 1100 S Chester Ave, Compton, CA 90221-4312 2020-11-04
1902407174 Ryan Allen Merrell Technician 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 2020-11-04
1083212476 Christina Elisabeth Brunn Technician 2818 Huxley Pl, Fremont, CA 94555-1416 2020-10-16
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1730795543 Corina Rochelle Burch Technician 3706 Calavo Dr, Spring Valley, CA 91977-1903 2020-09-17
1033724729 Cinta Latrece Moore Technician 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 2020-09-10
1598379398 Trina Diane Brown Technician 115 W Zane St, Long Beach, CA 90805-6327 2020-08-31
1437760766 Jeri Lyn Allen-smith Technician 9228 Allano Way, Santee, CA 92071-2202 2020-08-11
1750991667 Natalie Mari Norman Technician 5013 Englewood Dr, San Jose, CA 95129-4232 2020-08-05
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Competitor

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City REDDING
Zip Code 96003

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Dataset Information

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.

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