DOMINIQUE MORENO (NPI# 1063040376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063040376 |
| Entity Type | Individual |
| Full Name | DOMINIQUE MORENO |
| Practice Address |
2451 University Hospital Dr Mobile AL 36617-2300 |
| Mailing Address |
2681 Shiloh Way Tallahassee FL 32308-9409 |
| Practice Telephone | 2514717000 |
| Mailing Telephone | 8504590607 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861341 | Dominique Moreno | Family Medicine | 1040 Edgewater Corporate Pkwy Ste 101, Indian Land, SC 29707-4526 | 2020-04-30 |
| 1790238665 | Dominique Ray Moreno | Counselor | 5217 S 28th St, Omaha, NE 68107-3402 | 2016-07-27 |
| Street Address |
2451 UNIVERSITY HOSPITAL DR |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811011448 | Kurt J Knowles | Pathology | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2007-03-19 |
| 1477171510 | Loren Lonnie Jones | Registered Nurse | 2451 University Hospital Dr, Mastin 101, Mobile, AL 36617 | 2020-07-06 |
| 1700402021 | Hilary Harless | Nurse Practitioner | 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617-2300 | 2020-06-23 |
| 1578184438 | Martha Mckinley | Nurse Practitioner | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-05-01 |
| 1003444373 | Frederick Joseph Rossi IIi | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-31 |
| 1144858838 | Taylor Rae Cook | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-30 |
| 1457989063 | Tyler Joseph Kaelin | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-30 |
| 1609403831 | Earl Chandler Tedder | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-26 |
| 1255968301 | Oluwafunmiso Ibunkun Fagbongbe | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-26 |
| 1447887567 | Andrew Michael Rockwell | Nurse Practitioner | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302907 | Dyneisha Barrett | Student in an Organized Health Care Education/Training Program | 2251 Liberty Ct, Mobile, AL 36608-9145 | 2020-09-23 |
| 1548872344 | Shelby Glynn | Student in an Organized Health Care Education/Training Program | 1200 Somerby Dr Apt 326, Mobile, AL 36695-5429 | 2020-08-21 |
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1912518549 | Makenzie Rose-lynn Dunning | Student in an Organized Health Care Education/Training Program | 2841 Leigh Ct, Mobile, AL 36695-9794 | 2020-08-17 |
| 1093326613 | Rachael Lauren Abroms | Student in an Organized Health Care Education/Training Program | 871 W Briar Ct, Mobile, AL 36609-5167 | 2020-08-17 |
| 1669083275 | Amedee Stokley | Student in an Organized Health Care Education/Training Program | 25 Lancaster Rd, Mobile, AL 36608-1903 | 2020-08-17 |
| 1831700442 | Katherine Josephine White | Student in an Organized Health Care Education/Training Program | 2925 Jersey Dr W, Mobile, AL 36695-9583 | 2020-08-17 |
| 1376154997 | Mary Emily Moran Harris | Student in an Organized Health Care Education/Training Program | 4506 Kingsway Dr, Mobile, AL 36608-2810 | 2020-08-17 |
| 1649881269 | Roxanna Rose Hare | Student in an Organized Health Care Education/Training Program | 109 Bienville Ave, Mobile, AL 36606-1462 | 2020-08-17 |
| 1659982262 | Kaitlyn Anne Parker | Student in an Organized Health Care Education/Training Program | 7230 Oakbriar Dr N, Mobile, AL 36619-1232 | 2020-08-17 |
| Find all providers in MOBILE | ||||
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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.