GLADYS EDITH MORENO (NPI# 1023580966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023580966 |
| Entity Type | Individual |
| Full Name | GLADYS EDITH MORENO |
| Credential | FNP-C |
| Practice Address |
1921 18th St Bakersfield CA 93301-4205 |
| Practice Telephone | 6613279693 |
| Mailing Telephone | 6613279693 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WS0200X |
Registered Nurse Specialization: School |
803346 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95015103 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1624 Fairview Rd, Bakersfield, CA 933075512 | 6618376130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528566619 | Gladys Margarita Moreno | Contractor | 909 Pico Blvd, Santa Monica, CA 90405-1326 | 2018-01-24 |
| 1477004059 | Gladys Moreno | Case Manager/Care Coordinator | 815 N El Centro Ave, Los Angeles, CA 90038-3805 | 2016-10-19 |
| Street Address |
1921 18TH ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839818 | Firooz B Amjadi | Specialist | 1921 18th St, Bakersfield, CA 93301-4205 | 2006-05-18 |
| 1629630470 | Amber Piercy | Nurse Practitioner | 1921 18th St, Bakersfield, CA 93301-4205 | 2019-07-02 |
| 1740351873 | Tonny Tanus | Allergy & Immunology | 1921 18th St, Bakersfield, CA 93301-4205 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456835 | Erin Marie Eddy | Nurse Practitioner | 10104 Glenn St, Bakersfield, CA 93312-2763 | 2020-08-10 |
| 1306454640 | Amandeep Dhillon | Nurse Practitioner | 14909 Brockbank Ave, Bakersfield, CA 93314-4307 | 2020-07-22 |
| 1962022160 | Laura Ellen Levingston | Nurse Practitioner | 2108 Dean Ave, Bakersfield, CA 93312-2728 | 2020-04-17 |
| 1386278927 | Durish Ann Adan Dorotheo | Nurse Practitioner | 8307 Brimhall Rd Ste 1702, Bakersfield, CA 93312-4343 | 2020-02-22 |
| 1336772615 | April Elizabeth Cooper | Nurse Practitioner | 1500 Haggin Oaks Blvd Ste 100, Bakersfield, CA 93311-1333 | 2020-02-14 |
| 1831739226 | Christine Crisostomo | Nurse Practitioner | 500 Windsor Park Dr, Bakersfield, CA 93311-3586 | 2020-01-14 |
| 1215586870 | Marissa Perez Hernandez | Nurse Practitioner | 4000 Physicians Blvd Ste 211, Bakersfield, CA 93301-1284 | 2019-09-06 |
| 1053969212 | Oliver Ranin | Nurse Practitioner | 9709 Swansboro Way, Bakersfield, CA 93314-8081 | 2019-08-30 |
| 1871155481 | Kathlene Mateo Hilario | Nurse Practitioner | 5055 California Ave Ste 340, Bakersfield, CA 93309-1993 | 2019-07-03 |
| 1538729074 | Dipali Desai | Nurse Practitioner | 11719 Christmas Rose Dr, Bakersfield, CA 93311-2187 | 2019-06-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on GLADYS EDITH 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.