BARBARA MORDUE (NPI# 1508997594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508997594 |
| Entity Type | Individual |
| Full Name | BARBARA MORDUE |
| Credential | NP |
| Practice Address |
11234 Anderson St Loma Linda CA 92354-2804 |
| Mailing Address |
7249 Fletcher View Dr Highland CA 92346-5056 |
| Practice Telephone | 9095584403 |
| Mailing Telephone | 9098646960 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
269961 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11234 ANDERSON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794657 | Leigh Ann Ballou | Physician Assistant | 11234 Anderson St, Rm 2562b, Loma Linda, CA 92354-2804 | 2005-07-14 |
| 1285233759 | Daemian Alexander Martin Sr. | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-10-25 |
| 1922610450 | Samantha Zepeda Merchant | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-08-17 |
| 1609493451 | Romina Mcgalliard | Registered Nurse | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-27 |
| 1811514854 | Christopher Jihoon Kim | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-25 |
| 1912523135 | Shelly Marie Bogue | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-23 |
| 1962028613 | Sikai Song | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-18 |
| 1720604515 | Nelson Horsley | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-17 |
| 1134744055 | Teddy Matthew Mumu | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-16 |
| 1124643135 | Kristofer John Vance | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164881108 | Ana Lisa Borkowski | Nurse Practitioner | 11234 Anderson St # Mc6700h, Loma Linda, CA 92354-2804 | 2016-02-18 |
| 1508492950 | Patricia Linda Smith | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-03-18 |
| 1881725869 | Lisa Joann Kirby | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-03-08 |
| 1578698262 | Janet Lynn Jovero | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-02-22 |
| 1366587685 | Douglas John Fantazia | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-02-21 |
| 1275678591 | Sunjeeve Prasana Weerasinghe | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1598186371 | Colleen Jehning Donovan | Nurse Practitioner | 2051 Marengo St., Nicu, Los Angeles, CA 90033 | 2013-12-23 |
| 1770824740 | Ann Stein | Nurse Practitioner | 757 Medical Plz, Los Angeles, CA 90095-0001 | 2013-03-15 |
| 1699036756 | Ivette Syra Jackson | Nurse Practitioner | 8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804 | 2012-06-06 |
| 1508126251 | Jennie W Chu | Nurse Practitioner | 1000 W Carson Street, Harbor-ucla Medical Center, Neonatology, Department of Pediatrics, Torrance, CA 90502-2004 | 2012-05-29 |
| 1467775908 | Emi Kotoh | Nurse Practitioner | 4650 W. Sunset Blvd Ms #31, Los Angeles, CA 90027 | 2010-03-11 |
| 1598094286 | Ancy Abraham | Nurse Practitioner | 4650 W Sunset Blvd # 31, Los Angeles, CA 90027-6062 | 2009-12-09 |
| 1982734711 | Kathi Salley Randall | Nurse Practitioner | 28141 Belleterre Ave, Moreno Valley, CA 92555-6223 | 2007-03-07 |
| 1134280746 | Deborah Ann Eveland | Nurse Practitioner | 275 West Macarthur Blvd, Oakland, CA 94611 | 2006-12-13 |
| 1699861468 | Deborah M Camara | Nurse Practitioner | 501 S. Buena Vista St., Burbank, CA 91505 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.