MRS. RACHEL ELIZABETH BLACK (NPI# 1003276528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003276528 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL ELIZABETH BLACK |
| Other Name | RACHEL ELIZABETH BRANCH |
| Practice Address |
5306 Outlook Blvd Unit 101 Pueblo CO 81008-1399 |
| Mailing Address |
1347 S Marion Ave Tulsa OK 74112-5920 |
| Practice Telephone | 4053153830 |
| Mailing Telephone | 4053153830 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1003276528 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740438803 | Rachel Black | Pharmacist | 1696 Middle Tennessee Blvd, Murfreesboro, TN 37130-5108 | 2008-09-03 |
| 1861001935 | Rachel Campbell Black | Pharmacist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2020-07-24 |
| 1528683109 | Rachel Black | Counselor | 60 Katona Dr, Fairfield, CT 06824-3544 | 2020-06-10 |
| 1518526888 | Rachel Black | Pediatrics | 165 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-11 |
| 1396304762 | Rachel Black | Social Worker | 50 W Hawthorne Ave Fl 2, Valley Stream, NY 11580-6220 | 2019-06-10 |
| 1588142020 | Rachel M Black | Dentist | 3003 E 98th St Ste 200, Indianapolis, IN 46280-1973 | 2018-08-06 |
| 1447749445 | Rachel Black | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2018-05-04 |
| 1194011601 | Rachel Anne Black | Occupational Therapy Assistant | 40 Glenridge Dr, Augusta, ME 04330-6606 | 2011-06-22 |
| Street Address |
5306 OUTLOOK BLVD UNIT 101 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1487041331 | Joshua Jay Borer | Student in an Organized Health Care Education/Training Program | 786 N Boyero Ave, Pueblo, CO 81007-1299 | 2015-04-17 |
| 1811598907 | Amira Bakkar | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-11-04 |
| 1497373682 | Manaquibb Zain Ali Shaheer Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-14 |
| 1154949584 | Sohaib Ahmed Khan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-07-13 |
| 1427678986 | Blayne Anne Knapp | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-24 |
| 1881214567 | Nathan S Grigg | Student in an Organized Health Care Education/Training Program | 400 W 16th St, Pueblo, CO 81003-2745 | 2020-04-22 |
| 1053931980 | David Allen Mcmillan | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-21 |
| 1699395822 | Neil Ashok Patel | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| 1992325104 | Mena Maher Tawfik | Student in an Organized Health Care Education/Training Program | 311 W 14th St, Pueblo, CO 81003-2705 | 2020-04-17 |
| Find all providers in PUEBLO | ||||
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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.