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KEVIN JHORDAN MORENO VAZQUEZ
NPI 1801362165
Licensed Practical Nurse in Tacoma, WA

Active since October 15, 2018
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98433(253) 986-0982 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Jhordan Moreno Vazquez NPPES

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

KEVIN JHORDAN MORENO VAZQUEZ (NPI 1801362165) is an individual licensed practical nurse in Tacoma, Washington, licensed in Texas (337386) and active in the NPI registry since October 2018. He maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1801362165
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameKEVIN JHORDAN MORENO VAZQUEZ
Location Address9040 JACKSON AVE, ATTN: MCHJ-CLQ-CTacoma, WA 98433
Mailing Address767 141st Street Ct STacoma, WA 98444-3398 · (678) 622-0318
Phone(253) 986-0982
Sole ProprietorNo
Enumeration DateOctober 15, 2018
✔ NPI 1801362165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 337386
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9040 JACKSON AVE, Tacoma, WA 98433
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Secondary Practice Location 1

Location 1BLDG 3370 Evergreen Avetacoma, WA 98433 · Phone (253) 477-2766

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATHAN KINNEER FRIEDLINE MD
Emergency Medicine
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (850) 885-2273
CHAMPA EANES LPN
Licensed Practical Nurse
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-0842
JINA PARK
Licensed Practical Nurse
9040 JACKSON AVE, ATTN: ACHJ-CLQ-C
TACOMA, WA 98433
Pierce County (253) 986-0982
DR. EILEEN LOUISE POUPORE NP
Nurse Practitioner (Psychiatric/Mental Health)
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-4848
SONYA E VARGO RN
Registered Nurse (Critical Care Medicine)
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-0982
CHELSEA RAE NIEMEYER RN
Registered Nurse
9040 JACKSON AVE, N/A
TACOMA, WA 98433
Pierce County (253) 968-1535
KEISHA WILLIAMS
Social Worker (Clinical)
9040 JACKSON AVE
FORT LEWIS, WA 98433
Pierce County (253) 968-3990

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 Kevin Moreno Vazquez's NPI number?

The NPI number for Kevin Moreno Vazquez is 1801362165. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Kevin Moreno Vazquez located?

Kevin Moreno Vazquez practices at 9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma, WA 98433. The listed phone number is (253) 986-0982.

What is Kevin Moreno Vazquez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kevin Moreno Vazquez was last updated on October 15, 2018. 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.