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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
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 |
Street Address |
10125 FRAZIER RD |
City | REDDING |
State | CA |
Zip Code | 96003-9241 |
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 |
Find all providers in zip 96003 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
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] |
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 |
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 |
Find all providers with the same taxonomy |
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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.