Gloria Lucia Moreno

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

907 Issued in WA

Practice address

534 Boyer Ave
Walla Walla, WA 99362-2047

Phone

(509) 525-6463

Fax

(509) 522-0578

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1245429240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CHASE AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BOYER AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622047",
            "telephone_number": "509-525-6463",
            "fax_number": "509-522-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "GLORIA",
        "middle_name": "LUCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Alison Moore, PHARM.D.
• Michael Roy Moore, M.D.
• Pat S Morales, MSN, RN, CPPN, CGRA
• Morasch Medical, PC
• Robert G. Morasch, M.D.
• Connie Kristina Morgan, MSPT
• Erin Breann Morgan, LMHC
• Philip R Morgan, M.D.
• Merrit Susanna Morris, LMT
• Robert E Morris, MD

• Occupational Therapy Assistant in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.