LISA MORENO (NPI# 1194262519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194262519 |
| Entity Type | Individual |
| Full Name | LISA MORENO |
| Credential | APRN |
| Practice Address |
4357 Corporate Center Dr Ste 450 North Las Vegas NV 89030-0226 |
| Practice Telephone | 7026444673 |
| Mailing Telephone | 7026444673 |
| Mailing Fax Number | 7029024453 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN002443 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922444629 | Lisa Moreno | Specialist | 6540 Lusk Blvd., Ste C139, San Diego, CA 92121 | 2013-05-21 |
| 1780864967 | Lisa Moreno | Nurse Practitioner | 203 S San Mateo St, Redlands, CA 92373-5030 | 2007-11-06 |
| 1245794601 | Lisa Karina Moreno | Student in an Organized Health Care Education/Training Program | 2200 Hickory St, Abilene, TX 79601-2345 | 2019-01-29 |
| 1962846105 | Lisa Anne Moreno | Specialist/Technologist | 11650 Perris Blvd, Moreno Valley, CA 92557-6536 | 2013-04-18 |
| 1407119993 | Lisa Kathleen Moreno | Occupational Therapist | 187 Tank Farm Rd, Suite 220, San Luis Obispo, CA 93401-7081 | 2012-06-19 |
| 1679748362 | Lisa Mccall Moreno | Speech-Language Pathologist | 320 Custer Road, Richardson, TX 75080-5623 | 2008-04-24 |
| 1275625295 | Lisa Ann Moreno | Physician Assistant | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-09-28 |
| 1508977208 | Lisa B. Moreno | Allergy & Immunology | 135 E 83rd St, New York, NY 10028-2408 | 2006-08-31 |
| 1316991433 | Lisa Jennifer Moreno | Nurse Anesthetist, Certified Registered | 601 Main St, Dunedin, FL 34698-5848 | 2006-05-22 |
| 1831166800 | Lisa M. Moreno | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2006-03-08 |
| Street Address |
4357 CORPORATE CENTER DR STE 450 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-0226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528024593 | Maria Johanna Van Vianenryder | Nurse Practitioner | Va Southern Nevada Heathcare System, 1841 E. Craig Road, North Las Vegas, NV 89036 | 2006-04-26 |
| 1518273317 | Tiana Dalereca Hubbard | Nurse Practitioner | 3450 W Cheyenne Ave, Ste 200, North Las Vegas, NV 89032-8223 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649468 | Mary Denisse Toribio | Nurse Practitioner | 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 | 2020-11-05 |
| 1821698564 | Paula Johnson Rood | Nurse Practitioner | 730 Sandhill Rd Ste 200, Reno, NV 89521-8963 | 2020-10-30 |
| 1548813199 | Garner & Ludwig Wellness PC | Nurse Practitioner | 595 Haybale Ct, Sparks, NV 89441-5589 | 2019-07-23 |
| 1902460967 | Donnene Denise Ratkiewicz | Nurse Practitioner | 1589 Peaceful Pine St, Henderson, NV 89052-3154 | 2019-04-25 |
| 1407315344 | Delfina Simpson | Nurse Practitioner | 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 | 2019-03-19 |
| 1194298539 | Jennifer Marie Sanabia | Nurse Practitioner | 5538 Longley Ln Ste B, Reno, NV 89511-1897 | 2019-01-08 |
| 1801362942 | Mary Ann Lorenzo Enriquez | Nurse Practitioner | 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 | 2018-10-16 |
| 1164901245 | Jasmina Santos Fornbacher | Nurse Practitioner | 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 | 2018-08-09 |
| 1275037517 | Mary Manoharan | Nurse Practitioner | 1240 N Mlk Blvd, Las Vegas, NV 89106-2825 | 2018-03-21 |
| 1699204735 | Anna Smith | Nurse Practitioner | 1032 Secluded Acres Ct, Henderson, NV 89002-9225 | 2017-06-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on LISA 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.