NICOLE MARIE MORENO (NPI# 1316469315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316469315 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE MORENO |
| Credential | ATC |
| Practice Address |
Northern Boulevard P.o. Box 8000 Old Westbury NY 11568 |
| Mailing Address |
237 Martin Dr Syosset NY 11791-5407 |
| Practice Telephone | 5166867687 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002411 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974042 | Nicole Moreno | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2020-02-20 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1316471535 | Nicole Antonia Moreno | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Anesthesia Department, Jackson, MI 49201 | 2017-04-13 |
| Street Address |
NORTHERN BOULEVARD P.O. BOX 8000 |
| City | OLD WESTBURY |
| State | NY |
| Zip Code | 11568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707194 | Brookshield Laurent | Family Medicine | Northern Boulevard, Old Westbury, NY 11568-8000 | 2009-05-12 |
| 1851658884 | Samana Khan | Occupational Therapist | Northern Boulevard, Nyit College of Osteopathic Medicine, Old Westbury, NY 11568 | 2012-04-16 |
| 1528384807 | Philip Noto | Physical Medicine & Rehabilitation | Northern Boulevard, Old Westbury, NY 11568 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679814198 | Margaret Anne Trosko | Registered Nurse | 11 Bacon Road, Old Westbury, NY 11568 | 2013-03-07 |
| 1790054278 | Parviz Jarrahy | Obstetrics & Gynecology | 25 Fox Hollow Ln, Old Westbury, NY 11568 | 2011-12-29 |
| 1841591765 | Jack Martin Shapiro | Otolaryngology | 147 Bacon Rd, Old Westbury, NY 11568 | 2010-11-09 |
| 1548411473 | Shari Allyson Gessner | Physical Therapist | Academic Health Care Center-nyit Northern Blvd, Old Westbury, NY 11568 | 2008-10-09 |
| 1043471378 | Patricia E Happel | Family Medicine | Nycom Academic Health Care Center, Northern Blvd, Old Westbury, NY 11568 | 2008-06-19 |
| 1396940383 | Bhuma Krishnamachari | Genetic Counselor, MS | Academic Health Care Center, New York Institute of Technology, Northern Blvd, Old Westbury, NY 11568 | 2007-06-19 |
| 1669434387 | Maria M. Plummer | Pathology | Bldg 1 Northern Blvd, Nycom, Old Westbury, NY 11568 | 2006-04-06 |
| 1811983034 | Todd Cohen | Internal Medicine | Northern Blvd At Valentines Lane, Riland Healthcare Center - Nyit, Old Westbury, NY 11568 | 2005-09-22 |
| 1942486477 | Ling Wan-albert | Occupational Therapist | Northern Blvd, Academic Health Care Center Nyit, Old Westbury, NY 11568 | 2008-01-15 |
| 1205902087 | Reem Abu-sbaih | Neuromusculoskeletal Medicine & OMM | Ny Inst of Technology Northern Blvd, Academic Health Care Center, Old Westbury, NY 11568-0210 | 2006-11-25 |
| Find all providers in zip 11568 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073660064 | Dean Steven Kamvakis | Specialist/Technologist | Northern Blvd., Nyit Athletics, Old Westbury, NY 11568-8000 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | OLD WESTBURY |
| Zip Code | 11568 |
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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.