ADRIANE AMANA ALCALA MOSS (NPI# 1497770648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497770648 |
Entity Type | Individual |
Full Name | ADRIANE AMANA ALCALA MOSS |
Credential | PMHNP |
Practice Address |
4585 Sw 185th Ave Aloha OR 97007 |
Mailing Address |
2669 Scenic Dr Alamogordo NM 88310-8700 |
Practice Telephone | 5035919280 |
Mailing Telephone | 5754465310 |
Mailing Fax Number | 5754465319 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2017-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP-03213 | NM | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200450121NP PMHN | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 277800 | 05 | |
NM | NM LICENSE | CNP-03213 | 01 |
Street Address |
4585 SW 185TH AVE |
City | ALOHA |
State | OR |
Zip Code | 97007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730167982 | Sequoia Mental Health Services Inc | Community Based Residential Treatment Facility, Mental Illness | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2006-01-06 |
1649888462 | Hailey Coleman | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-07-17 |
1598381857 | Ashley Marie Miller | Social Worker | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-06-23 |
1235751413 | Lynne Gallagher Nanson | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
1518589795 | Heather Elizabeth Carey | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-05-11 |
1376170399 | Alena Masumi Berkman | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-27 |
1144855198 | Erika Graves | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-10 |
1427683168 | Aaron Lee Moore | Peer Specialist | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2020-03-03 |
1790323350 | Jonathan Clarke | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-12-13 |
1659928935 | Conner Alexander Gremillion | Case Manager/Care Coordinator | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2019-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265474316 | Patricia Canning | Nurse Practitioner | 4585 Sw 185th Ave, Aloha, OR 97007-1557 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
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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.