PHYLLIS BLACK (NPI# 1295950392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295950392 |
| Entity Type | Individual |
| Full Name | PHYLLIS BLACK |
| Practice Address |
2925 Navajo Ave Fort Pierce FL 34946-6740 |
| Practice Telephone | 7724679439 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | CNA40739 | FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407186869 | Phyllis Regina Black | Counselor | 325 9th Ave # 359797, Seattle, WA 98104-2420 | 2010-01-07 |
| 1972652303 | Phyllis Black | Social Worker | 1500 Kings Highway North, Suite C 208, Cherry Hill, NJ 08034 | 2007-01-08 |
| Street Address |
2925 NAVAJO AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34946-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134617004 | Vision Scientific LLC | Clinical Medical Laboratory | 2286 N Us Highway 1, Fort Pierce, FL 34946 | 2018-04-26 |
| 1104031061 | Kendis Archer | General Practice | 1506 Barcelona Ave, Fort Pierce, FL 34946 | 2007-05-14 |
| 1386730984 | Omniflight Helicopters, Inc. | Ambulance | 3105 Airmans Drive, Fort Pierce, FL 34946 | 2006-10-04 |
| 1154966687 | Shaquanda Parker | Nurse's Aide | 4989 Avienda Ave, Fort Pierce, FL 34946-1031 | 2019-11-07 |
| 1881259323 | Brendalin A Bacon | Counselor | 4713 El Nueva Ave, Fort Pierce, FL 34946-1035 | 2019-05-09 |
| 1679188916 | Yaisha Monique Sirmons | Massage Therapist | 4503 San Diego Ave, Fort Pierce, FL 34946-1055 | 2020-09-14 |
| 1972868990 | Duanda Clark | Occupational Therapist | 2401 Matanzas Ave, Fort Pierce, FL 34946-1165 | 2012-07-05 |
| 1215276845 | Rashandia Johnson | Case Manager/Care Coordinator | 2707 Walker Dr, Fort Pierce, FL 34946-1170 | 2013-02-01 |
| 1447443502 | Doris Monroe | Licensed Practical Nurse | 1807 Barcelona Ave, Fort Pierce, FL 34946-1321 | 2007-08-22 |
| 1821516899 | Nursing 360 LLC | Clinic/Center | 1504 Valencia Ave, Fort Pierce, FL 34946-1374 | 2017-08-30 |
| Find all providers in zip 34946 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226025 | Sheri Shuntel Carrasquillo | Nurse's Aide | 1511 Florida Ave, Fort Pierce, FL 34950-4927 | 2020-02-05 |
| 1154966687 | Shaquanda Parker | Nurse's Aide | 4989 Avienda Ave, Fort Pierce, FL 34946-1031 | 2019-11-07 |
| 1255985487 | Shirley Mcmillan-tindall | Nurse's Aide | 1915 Wyoming Ave, Fort Pierce, FL 34982-5636 | 2019-07-25 |
| 1871841676 | /mavis Hnson | Nurse's Aide | 600 S 10th St, Fort Pierce, FL 34950-8516 | 2012-08-27 |
| 1558644872 | Tara Leeshanda Brown | Nurse's Aide | 2209 S 34th St Apt A, Fort Pierce, FL 34947-4526 | 2011-09-22 |
| 1679728760 | Shereka Jackson Martin | Nurse's Aide | 606 N 18th Street, Fort Pierce, FL 34950-6013 | 2008-11-18 |
| 1346435195 | Marline Suffrin | Nurse's Aide | 1308 Grand Club Blvd, Fort Pierce, FL 34982-8133 | 2007-09-13 |
| 1225223845 | Cherail Ware | Nurse's Aide | 3307 Avenue I, Fort Pierce, FL 34947-2333 | 2007-09-06 |
| 1861685042 | Ladana Dawsey | Nurse's Aide | 1204 N 20th St, Apt B, Fort Pierce, FL 34950-5727 | 2007-08-22 |
| 1740488931 | Loucie Regis | Nurse's Aide | 1206 N 16th St, Fort Pierce, FL 34950-3201 | 2007-07-10 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34946 |
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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.