M. ELAINE MORENO (NPI# 1306975321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306975321 |
| Entity Type | Individual |
| Full Name | M. ELAINE MORENO |
| Credential | RN |
| Practice Address |
327 College Ave Santa Rosa CA 95401-5117 |
| Practice Telephone | 7075682800 |
| Practice Fax Number | 7075682800 |
| Mailing Telephone | 7075682800 |
| Mailing Fax Number | 7075682800 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
418799 | CA | Nursing Service Providers |
| Street Address |
327 COLLEGE AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477632453 | James R Kennedy | Psychiatry & Neurology | 327 College Ave, Santa Rosa, CA 95401-5117 | 2006-11-02 |
| 1558975169 | Nebiyou Almaw Amshalu | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2020-09-01 |
| 1902444664 | Hailey Jean Mason | Community Health Worker | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-12-12 |
| 1457999286 | Irma Martinez | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-12-11 |
| 1003459181 | Megan Gordon | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-10-22 |
| 1689234684 | Sheila Kirven | Case Manager/Care Coordinator | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-06-20 |
| 1154806263 | Alison Van De Hei | Social Worker | 327 College Ave, Santa Rosa, CA 95401 | 2018-09-25 |
| 1366923914 | Alyssa Fraijo | Counselor | 327 College Ave, Santa Rosa, CA 95401-5117 | 2018-08-22 |
| 1770076705 | Kimberly Marcy | Counselor | 327 College Ave, Santa Rosa, CA 95401-5117 | 2018-06-13 |
| 1528567062 | Kevin Bley | Counselor | 327 College Ave, Santa Rosa, CA 95401-5117 | 2018-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790439 | Beatrice Muthoni Nganga | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-03 |
| 1811542186 | Andrea Marie Ladow-kenny | Registered Nurse | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2019-08-05 |
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 1730646746 | Lisa Ballantyne | Registered Nurse | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-02-26 |
| 1114412376 | Dylan Grieve | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-06-28 |
| 1104328814 | Toni Word | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-08 |
| 1174025076 | Jamell Baxter | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-06 |
| 1750890703 | Patricia Aileen Francis | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-09-21 |
| 1447774591 | Sarah Katherine Johnson | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-07-31 |
| 1417485509 | Shawnna Marie Fox | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2017-06-01 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on M. ELAINE 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.