MICHELLE R BLACK (NPI# 1053411132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411132 |
| Entity Type | Individual |
| Full Name | MICHELLE R BLACK |
| Credential | APRN |
| Practice Address |
427 Us 31w Byp Bowling Green KY 42101-1703 |
| Mailing Address |
Po Box 90039 Bowling Green KY 42102-9039 |
| Practice Telephone | 2707968800 |
| Practice Fax Number | 2707969328 |
| Mailing Telephone | 2707968800 |
| Mailing Fax Number | 2707969328 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3003025 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78003662 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 1598889123 | Michelle Raegene Black | Specialist/Technologist, Other | 1200 Cherokee St, Unit #203, Denver, CO 80204-3664 | 2007-03-19 |
| 1295879351 | Michelle Lee Black | Specialist/Technologist | 431 Pine St Ste G01, Burlington, VT 05401-4726 | 2007-02-20 |
| 1932700499 | Michelle Black | Pharmacist | 2753 W Market St, Fairlawn, OH 44333-4235 | 2020-11-02 |
| 1578030946 | Michelle Renee Black | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2018-10-24 |
| 1184121949 | Michelle Black | Psychologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-04-09 |
| 1235580762 | Michelle Lynn Black | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2016-06-27 |
| 1710331004 | Michelle Black | Counselor | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2016-04-22 |
| 1588037055 | Michelle Black | Psychologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2015-11-05 |
| 1295122059 | Michelle Black | Registered Nurse | 406 N Spring St, Mcminnville, TN 37110-2134 | 2015-04-20 |
| Street Address |
427 US 31W BYP |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258088 | Kalidas G Sahetya | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-01-05 |
| 1013458603 | Deborah Neff | Massage Therapist | 427 Us 31w Byp, Suite 203, Bowling Green, KY 42101-1703 | 2017-03-15 |
| 1750550620 | Heather R Heck | Nurse Practitioner | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2008-02-26 |
| 1023220092 | Pinky Dalal Gaba | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2007-05-04 |
| 1932255312 | Manisha Jain | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2007-01-26 |
| 1548374879 | Tina S Graham | Nurse Practitioner | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-08-17 |
| 1922025535 | Gul K Sahetya | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-07-17 |
| 1558388165 | Associates In Pulmonary and Critical Care Medicine | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-07-17 |
| 1083655047 | Tullio Emanuele | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-06-09 |
| 1508805870 | K G Sahetya Psc | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1447885009 | Kathleen Pitt | Nurse Practitioner | 1982 Cross Willows Ct, Bowling Green, KY 42104-4731 | 2020-03-04 |
| 1225678782 | Michael Curtis | Nurse Practitioner | 661 Us 31w Byp Ste H, Bowling Green, KY 42101-4968 | 2020-01-13 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1932750213 | Carmen Desiree Hughes | Nurse Practitioner | 1325 Andrea St Ste 100, Bowling Green, KY 42104-5853 | 2019-09-26 |
| 1558929117 | Amber D Whitford | Nurse Practitioner | 406 S Main Cross St Unit A, Bowling Green, MO 63334-2239 | 2019-05-30 |
| 1306333828 | Amy Lynn Ramlow | Nurse Practitioner | 21885 Carter Rd, Bowling Green, OH 43402-9621 | 2018-04-19 |
| 1508380478 | Susan Kay Staples | Nurse Practitioner | 944 Searcy Way, Bowling Green, KY 42103-7168 | 2017-08-01 |
| 1437507860 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 350 Park St Ste 106, Bowling Green, KY 42101-1784 | 2016-05-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on MICHELLE R BLACK.
| 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.