MRS. VANESSA MORA (NPI# 1699841676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699841676 |
Entity Type | Individual |
Full Name | MRS. VANESSA MORA |
Credential | PNP |
Practice Address |
2200 Bergquist Dr Ste 1 San Antonio TX 78236-9908 |
Mailing Address |
1234 Juneau Ave Unit B Jber AK 99505 |
Practice Telephone | 2103877682 |
Mailing Telephone | 2103877682 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2014-09-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
666298 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2200 BERGQUIST DR STE 1 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78236-9908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083119937 | Steve Updike | General Practice | 2200 Bergquist Dr Ste 1, San Antonio, TX 78236-9908 | 2018-03-23 |
1831624568 | Kendra Leanne Oldham | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, San Antonio, TX 78236-9908 | 2017-05-01 |
1891031860 | Kelsey Christensen | Nurse Practitioner | 2200 Bergquist Dr Ste 1, San Antonio, TX 78236-9908 | 2012-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
1982238317 | Belinda Dixon | Nurse Practitioner | 3422 Krie Highlands, San Antonio, TX 78245-1678 | 2020-02-25 |
1316580327 | Traci Dee Ulibarri | Nurse Practitioner | 431 Centro Hermosa, San Antonio, TX 78245-1298 | 2019-10-22 |
1912471012 | Sarah Alba | Nurse Practitioner | 9002 Culebra Rd # 100, San Antonio, TX 78251-2873 | 2019-01-11 |
1285105536 | Lizbeth Barba | Nurse Practitioner | 20642 Stone Oak Pkwy Ste 105, San Antonio, TX 78258-7363 | 2018-12-16 |
1427526839 | Christina Ferris | Nurse Practitioner | 7323 Marbach Rd Ste 107, San Antonio, TX 78227-1907 | 2018-11-05 |
1902309511 | Lauren R Carter Rohrer | Nurse Practitioner | 4522 Fredericksburg Rd Ste A11, San Antonio, TX 78201-6509 | 2018-03-10 |
1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
1669837720 | Rebekah Randall | Nurse Practitioner | 21195 W Ih 10 Ste 2101, San Antonio, TX 78257-1675 | 2015-12-16 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78236 |
Please comment or provide details below to improve the information on MRS. VANESSA MORA.
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.