MR. BRANDAN CHACE MORONI (NPI# 1790811073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790811073 |
| Entity Type | Individual |
| Full Name | MR. BRANDAN CHACE MORONI |
| Practice Address |
9981 Spring Valley Rd Potter Valley CA 95469-9713 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7074672010 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 697568 | CA | Behavioral Health & Social Service Providers |
| Y | 164X00000X | Licensed Vocational Nurse | 697568 | CA | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 697568 | CA | Other Service Providers |
| Street Address |
9981 SPRING VALLEY RD |
| City | POTTER VALLEY |
| State | CA |
| Zip Code | 95469-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958951 | Patrick Garrett | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-07 |
| 1588261101 | Hailey Huey | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1477150092 | Nathan Reitan | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-10-06 |
| 1003423427 | Rebeca Diaz | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-09-29 |
| 1043845167 | William Backus | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-03-09 |
| 1457991929 | Damian Pickron | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2020-01-13 |
| 1790320786 | Howard Eady | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-11-13 |
| 1538703640 | Lisa Lopez | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-10-31 |
| 1548818818 | Geoffrey Aringdale | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-08-29 |
| 1942855697 | Tonya Thies | Counselor | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288448 | Richard Gardiner | Psychiatry & Neurology | 11781 East Rd, Potter Valley, CA 95469 | 2005-07-07 |
| 1629038971 | James Pretorius | Family Medicine | 8201 West Rd, Potter Valley, CA 95469-8700 | 2006-03-23 |
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1447706965 | Steven Stewart | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2016-08-26 |
| 1427423573 | Barbara Killingham | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2015-12-01 |
| 1316595317 | William Crossman IIi | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2019-09-03 |
| 1982267423 | Austin Schmadeke | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-04-19 |
| 1548726128 | Krista Switzer | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2019-02-19 |
| 1124510342 | Kathleen Phillips | Counselor | 9981 Spring Valley Rd Unit B, Potter Valley, CA 95469-9713 | 2018-06-04 |
| 1518418482 | Redwood Community Services, Inc | Counselor | 9981b Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-10-17 |
| Find all providers in zip 95469 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | POTTER VALLEY |
| Zip Code | 95469 |
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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.