HEATHER ORLINE BLACK (NPI# 1518446731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518446731 |
| Entity Type | Individual |
| Full Name | HEATHER ORLINE BLACK |
| Practice Address |
120 N Walnut St Jefferson TX 75657-1934 |
| Mailing Address |
Po Box 901 Jefferson TX 75657-0901 |
| Practice Telephone | 9036656131 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
881435 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1235788696 | Heather Joy Black | Nurse Practitioner | 479 County Road 520 Ste 101b, Marlboro, NJ 07746-1085 | 2019-09-09 |
| 1871925883 | Heather Lea Black | Licensed Practical Nurse | 13 Truman Ct, Middletown, NY 10940-4512 | 2013-07-31 |
| 1912348160 | Heather Marie Black | Pharmacist | 5237 Broadway, Bronx, NY 10463-7636 | 2013-07-16 |
| 1619276615 | Heather Black | Mechanotherapist | 720 S 333rd St, Suite 218, Federal Way, WA 98003-7357 | 2011-03-16 |
| 1538491634 | Heather Wittmann Black | Social Worker | 2214 25th Ave Unit 2, Gulfport, MS 39501-4520 | 2010-02-01 |
| 1346495793 | Heather Leeanne Black | Registered Nurse | 15 Lazy Trl, Penfield, NY 14526-1703 | 2008-11-27 |
| 1447850458 | Heather Black | Nurse Practitioner | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-28 |
| 1740828961 | Heather Black | Licensed Practical Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-12-18 |
| 1255878021 | Heather R Black | Pharmacist | 800 Dr Joseph E Lowery Blvd Sw Ste D, Huntsville, AL 35801-4426 | 2017-01-31 |
| Street Address |
120 N WALNUT ST |
| City | JEFFERSON |
| State | TX |
| Zip Code | 75657-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255591 | First In Pediatrics Home Health Care, Inc. | Home Health | 120 N Walnut St, Jefferson, TX 75657-1934 | 2006-05-23 |
| 1487273793 | Cynthia Berniece Chappell | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
| 1912526237 | Linda Kay Humber | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
| 1902449986 | Cally Elizabeth Eans | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-23 |
| 1003457862 | Amiee Darlene Burks Elam | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-03 |
| 1821639626 | Tequilla Monique Ford | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-02 |
| 1376184473 | Brandi Shardale Mccuin | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
| 1952942054 | Dedria Mechel Hightower | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
| 1790336436 | Ariel Anastashia Malone | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
| 1003467739 | Maci Danielle Sikes | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131995 | Kimberly George | Case Manager/Care Coordinator | 261 Ma County Road 3430, Jefferson, TX 75657 | 2016-09-06 |
| 1124116561 | The Med Shop | Durable Medical Equipment & Medical Supplies | 110 N . Walnut, Jefferson, TX 75657 | 2006-10-11 |
| 1487644068 | Denise Sepulvado Norris | Occupational Therapist | 1404 Marion County Road 3509, Jefferson, TX 75657 | 2005-10-25 |
| 1700870185 | Robin Lynne Gale | Nurse Practitioner | 219 N Polk St, Jefferson, TX 75657 | 2005-08-31 |
| 1700072477 | James Leo Carroll | Physical Therapy Assistant | 339 Tangiers, Jefferson, TX 75657-0598 | 2007-09-17 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| 1558404293 | Jefferson Isd | Local Education Agency (LEA) | 1600 Martin Luther King Dr, Jefferson, TX 75657-1061 | 2007-02-14 |
| 1730352667 | Demetria Rena Parker | Nurse's Aide | 506 E Harrison St, Jefferson, TX 75657-1106 | 2008-04-11 |
| Find all providers in zip 75657 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447750948 | Lola Elliott | Registered Nurse | 129 Berea 7, Jefferson, TX 75657-6529 | 2018-02-20 |
| 1003328477 | Karina Gosdeck | Registered Nurse | N5595 Popp Rd, Jefferson, WI 53549-9647 | 2017-10-25 |
| 1134665268 | Pamela Jean Newcomb | Registered Nurse | N3197 County Rd N, Jefferson, WI 53549-9734 | 2017-01-12 |
| 1275883373 | Amanda Fay Derosa | Registered Nurse | 134 W Satin St, Jefferson, OH 44047-1339 | 2012-09-16 |
| 1073716783 | Loretta L Lingo | Registered Nurse | 1863 Forman Rd, Jefferson, OH 44047-9713 | 2007-06-08 |
| 1659599181 | Karen L. Dickson | Registered Nurse | 32 E Pine St, Jefferson, OH 44047-1118 | 2007-04-22 |
| 1336362326 | Mary B Palm | Registered Nurse | 145 S Chestnut St, Jefferson, OH 44047-1312 | 2007-04-10 |
| 1720119571 | Marsha Ann Hunter | Registered Nurse | 157 W Jefferson St, Jefferson, OH 44047-1047 | 2007-03-07 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in JEFFERSON | ||||
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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.