KATHRYN R BLACK (NPI# 1104129840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104129840 |
| Entity Type | Individual |
| Full Name | KATHRYN R BLACK |
| Credential | LAC, MT-BC |
| Practice Address |
2258 Santa Clara Ave Ste 1 Alameda CA 94501-4473 |
| Mailing Address |
1966 Tice Valley Blvd # 228 Walnut Creek CA 94595-2203 |
| Practice Telephone | 5108146900 |
| Mailing Telephone | 4808184277 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 17203 | CA | Other Service Providers |
| N | 225A00000X | Music Therapist | 08011 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790813459 | Kathryn F Black | Physician Assistant | 1025 Medical Center Drive, Wilmington, NC 28401 | 2007-03-02 |
| 1730790841 | Kathryn Olivia Black | Case Manager/Care Coordinator | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-08-12 |
| 1992354559 | Kathryn M Black | Student in an Organized Health Care Education/Training Program | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-09-06 |
| 1285195354 | Kathryn Black | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-03-29 |
| 1033626742 | Kathryn Marie Black | Licensed Practical Nurse | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2018-01-03 |
| 1336672724 | Kathryn Black | Counselor | 642 Brady St, Barboursville, WV 25504-1340 | 2017-04-04 |
| 1386839496 | Kathryn Annette Black | Marriage & Family Therapist | 1319 W May St, Wichita, KS 67213-3505 | 2007-09-11 |
| 1568403590 | Kathryn H. Black | Registered Nurse | 2022 Brookwood Medical Ctr Dr, Suite 510, Birmingham, AL 35209-6808 | 2006-06-09 |
| 1457335945 | Kathryn B Black | Anesthesiology | 1615 Delaware St, Anes. Dept, Longview, WA 98632-2310 | 2005-11-30 |
| Street Address |
2258 SANTA CLARA AVE STE 1 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720321128 | John Nieters, L.ac. | Acupuncturist | 2258 Santa Clara Ave Ste 1, Alameda, CA 94501-4473 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153193 | Michele Mason Cushner | Acupuncturist | 2179 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2020-01-07 |
| 1932747516 | Efforos Acupuncture | Acupuncturist | 450 Park St Ste 102, Alameda, CA 94501-6257 | 2019-12-14 |
| 1396395794 | Lan Wang | Acupuncturist | 743 Santa Clara Ave Apt 4, Alameda, CA 94501-3356 | 2019-09-17 |
| 1427518109 | Beth Marie Walker Gram | Acupuncturist | 2045 Clinton Ave Apt 33, Alameda, CA 94501-4377 | 2019-03-20 |
| 1538626114 | Julie Yafei Wang | Acupuncturist | 1549 Mozart St, Alameda, CA 94501-3425 | 2019-03-01 |
| 1699121970 | Dao Integrated Health | Acupuncturist | 1050 Marina Village Pkwy, Ste 104, Alameda, CA 94502 | 2016-05-05 |
| 1538595988 | Jane Tong Delore | Acupuncturist | 2229 Santa Clara Ave Ste B, Alameda, CA 94501-4409 | 2013-09-17 |
| 1639438831 | Lisa Chiu | Acupuncturist | 2431 Santa Rosa Ln, Alameda, CA 94501-5476 | 2012-05-08 |
| 1881838886 | James Alexander Tuggle | Acupuncturist | 1419 Grand St, Suite 101, Alameda, CA 94501-2569 | 2009-04-22 |
| 1710123583 | Tracy Ann Zollinger | Acupuncturist | 2424 Blanding Ave, Suite 102, Alameda, CA 94501-1553 | 2008-12-29 |
| Find all providers in ALAMEDA | ||||
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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.