MS. GLENDA IRENE MOORE (NPI# 1083698393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698393 |
| Entity Type | Individual |
| Full Name | MS. GLENDA IRENE MOORE |
| Credential | FNP |
| Practice Address |
2505 W 14th St Oakland CA 94607-5031 |
| Mailing Address |
306 Mercury Way Pleasant Hill CA 94523-2185 |
| Practice Telephone | 5105873400 |
| Mailing Telephone | 9256760743 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
514085 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801938436 | Glenda Marie Moore | Occupational Therapist | 371 Sereno Rd, Corrales, NM 87048-8625 | 2007-02-12 |
| 1124508957 | Glenda Moore | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-21 |
| 1962808360 | Glenda Moore | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2014-11-12 |
| 1760807812 | Glenda Moore | Case Manager/Care Coordinator | 1075 Jones St, Kennett, MO 63857-3866 | 2014-02-26 |
| 1487089967 | Glenda Paulette Moore | Licensed Practical Nurse | 4060 Wildcat Blvd, Charleston, SC 29414-5851 | 2013-09-04 |
| 1043561780 | Glenda A Moore | Counselor | 529 N Grand St, Enid, OK 73701-3216 | 2012-09-20 |
| 1427206184 | Glenda Gail Moore | Counselor | 162 Grove St Ste J, Bishop, CA 93514-2652 | 2008-09-05 |
| Street Address |
2505 W 14TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415202 | Victoria P Becker | Nurse Practitioner | 2505 W 14th St, Oakland, CA 94607-5031 | 2005-11-23 |
| 1568576692 | Cynthia Jane Wright | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-08-18 |
| 1538102090 | Joshua Cory Orlans | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-06-13 |
| 1376502286 | Katrina Ann Steer | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-03-20 |
| 1124095559 | Tracy Joan Cascio | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-03-03 |
| 1952378663 | Lori Bowley | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-03-01 |
| 1427024447 | Michaela Wilczynski | Social Worker | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-02-28 |
| 1649244708 | Nancy Ann Redden | Specialist | 2505 W 14th St, Oakland, CA 94607-5031 | 2006-02-15 |
| 1932183407 | Joel Peter Schmidt | Psychologist | 2505 W 14th St, Oakland Va Mental Health Clinic, Oakland, CA 94607-5031 | 2005-11-30 |
| 1578546057 | Roger Kenneth Stoltzman | Psychiatry & Neurology | 2505 W 14th St, Oakland Army Base, Oakland, CA 94607-5031 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1629540927 | Cadian Nursing Corporation | Nurse Practitioner | 505 14th St Ste 900, Oakland, CA 94612-1468 | 2018-12-26 |
| 1598393746 | Kelly J Stein | Nurse Practitioner | 251 N 4th St, Oakland, MD 21550-1375 | 2020-03-31 |
| 1952969792 | Erica Udall | Nurse Practitioner | 3300 Webster St Ste 1200, Oakland, CA 94609-3126 | 2019-06-05 |
| 1265915425 | Ronald Joseph Faigao Jacolbia | Nurse Practitioner | 818 Webster St, Oakland, CA 94607-4220 | 2018-09-12 |
| 1376038828 | Jeannette Soto | Nurse Practitioner | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-06-27 |
| 1801224217 | Lauren Enteen | Nurse Practitioner | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2013-10-22 |
| 1316246770 | Angelique B. Taylor | Nurse Practitioner | 819 Foothill Blvd, Oakland, CA 94606-3011 | 2011-03-23 |
| 1720305600 | Robyn Sera | Nurse Practitioner | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2010-04-30 |
| 1154656064 | Barbara Dean White-jones | Nurse Practitioner | 700 Adeline St, Oakland, CA 94607 | 2009-10-09 |
| Find all providers in OAKLAND | ||||
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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.