KRISTAL MARIE MORENO (NPI# 1679129480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679129480 |
| Entity Type | Individual |
| Full Name | KRISTAL MARIE MORENO |
| Other Name | KRISTAL MARIE BENITZ |
| Practice Address |
244 E Clara St Port Hueneme CA 93041-2732 |
| Mailing Address |
300 Mike Loza Dr Unit 109 Camarillo CA 93012-8479 |
| Practice Telephone | 8053076296 |
| Mailing Telephone | 8053076296 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 689647 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | XEQ9913232 | 01 |
| Street Address |
244 E CLARA ST |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 93041-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
| 1861861221 | Norma Martinez | Non-emergency Medical Transport (VAN) | 160 Sixth Place, Port Hueneme, CA 93041 | 2015-09-16 |
| 1962813733 | Olga Gutierrez Core | Pharmacist | 248 E Scott St, Port Hueneme, CA 93041 | 2014-05-15 |
| 1659796647 | Michael George Abasta | Chore Provider | 1534 5th Street, Port Hueneme, CA 93041 | 2014-02-27 |
| 1669610770 | Dianna Castro | Counselor | 1634 6th Street, Port Hueneme, CA 93041 | 2009-01-27 |
| 1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
| 1518094291 | Alireza Sharifzadeh Dds Inc | Dentist | 460 E Pleasant Valley Rd, #b, Port Hueneme, CA 93041 | 2007-02-28 |
| 1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
| 1538224001 | Tri Duc Duong | Dentist | 329 E Hueneme Rd, Port Hueneme, CA 93041 | 2006-12-26 |
| 1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
| Find all providers in zip 93041 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310926 | Marie Eugene Corpuz Abarientos | Licensed Vocational Nurse | 789 E Port Hueneme Rd, Port Hueneme, CA 93041-3560 | 2020-06-15 |
| 1275037376 | Sandrickia Lazell Turner | Licensed Vocational Nurse | 454 Evergreen Sq, Port Hueneme, CA 93041-2833 | 2018-03-22 |
| 1417102955 | Marites Garma Salinda | Licensed Vocational Nurse | 2446 Bolker Dr, Port Hueneme, CA 93041-1705 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT HUENEME |
| Zip Code | 93041 |
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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.