KRISTAL MARIE MORENO
NPI 1679129480
Licensed Vocational Nurse in Port Hueneme, CA

Active since August 16, 2019
244 E CLARA ST, PORT HUENEME, CA 93041(805) 307-6296 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kristal Marie Moreno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTAL MARIE MORENO (NPI 1679129480) is an individual licensed vocational nurse in Port Hueneme, California, licensed in California (689647) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1679129480
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKRISTAL MARIE MORENO
Location Address244 E CLARA STPort Hueneme, CA 93041-2732
Mailing Address300 Mike Loza Dr Unit 109Camarillo, CA 93012-8479 · (805) 307-6296
Sole ProprietorNo
Enumeration DateAugust 16, 2019
✔ NPI 1679129480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 689647
Definition
A licensed vocational nurse 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.
244 E CLARA ST, Port Hueneme, CA 93041

Other Names 1

Other Name (5)Kristal Marie Benitz

Other Identifiers 1

OtherXEQ9913232CA · Blue Shield

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristal Moreno's NPI number?

The NPI number for Kristal Moreno is 1679129480. It was assigned to this individual provider in the NPPES registry on August 16, 2019. The provider is also known as Kristal Marie Benitz.

Where is Kristal Moreno located?

Kristal Moreno practices at 244 E Clara St, Port Hueneme, CA 93041. The listed phone number is (805) 307-6296.

What is Kristal Moreno's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kristal Moreno was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.