HEATHER BLACK (NPI# 1619276615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619276615 |
| Entity Type | Individual |
| Full Name | HEATHER BLACK |
| Credential | LMP |
| Practice Address |
720 S 333rd St Suite 218 Federal Way WA 98003-7357 |
| Practice Telephone | 2064455011 |
| Practice Fax Number | 2535617356 |
| Mailing Telephone | 2064455011 |
| Mailing Fax Number | 2535617356 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172M00000X | Mechanotherapist | 13582 | OR | Other Service Providers |
| Y | 172M00000X | Mechanotherapist | MA00025104 | WA | Other 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 |
| 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 |
| 1518446731 | Heather Orline Black | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-08-08 |
| 1255878021 | Heather R Black | Pharmacist | 800 Dr Joseph E Lowery Blvd Sw Ste D, Huntsville, AL 35801-4426 | 2017-01-31 |
| Street Address |
720 S 333RD ST SUITE 218 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215201603 | Denise Ann Albert | Mechanotherapist | 1010 S 336th St Ste 102, Federal Way, WA 98003-7355 | 2012-03-01 |
| 1598081549 | Brittney Vashawn Walker | Mechanotherapist | 252 S 301st St, Federal Way, WA 98003-3632 | 2010-04-15 |
| 1114168739 | Aleksandra Starikov | Mechanotherapist | 34425 16th Ave Sw, Federal Way, WA 98023 | 2009-03-11 |
| 1750782512 | Barbra Menendez | Mechanotherapist | 33650 6th Ave S Ste 100, Federal Way, WA 98003-6754 | 2014-09-11 |
| 1497093785 | Ceiba Acupuncture & Bodywork | Mechanotherapist | 202 S 348th St, Suite 3, Federal Way, WA 98003-7070 | 2013-01-22 |
| 1619249828 | Ceiba Acupuncture & Bodywork LLC | Mechanotherapist | 204 S 348th St, Suite 1, Federal Way, WA 98003-7041 | 2012-02-02 |
| 1275842775 | Rachel E Sofferin | Mechanotherapist | 2201 Sw 356th St, Federal Way, WA 98023-3033 | 2010-09-30 |
| 1487807608 | Melody Michelle Melsness | Mechanotherapist | 900 S 336th St, Federal Way, WA 98003-6311 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024059 | Island Wellness Center | Mechanotherapist | 470 Spring St Ste 103, Friday Harbor, WA 98250-7230 | 2017-03-21 |
| 1710425418 | Diana Diamond | Mechanotherapist | 13307 28th Ave Se, Mill Creek, WA 98012-4641 | 2017-02-02 |
| 1568909711 | Marisa Seana Wentz | Mechanotherapist | 307 S 12th Ave Ste 9, Yakima, WA 98902-3138 | 2017-01-26 |
| 1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
| 1235680505 | Nataliya Soroka | Mechanotherapist | 26818 115th Pl Se, Kent, WA 98030-8478 | 2016-10-20 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1942754668 | Kassandra Bizauskas | Mechanotherapist | 100 Station Drive Suite 100, Dupont, WA 98327-8727 | 2016-08-10 |
| 1033562368 | Michael Coffey | Mechanotherapist | 9508 Ne 70th St, Vancouver, WA 98662-4536 | 2016-07-21 |
| 1558713248 | Angela Wapner | Mechanotherapist | 139 23rd Ave S, Seattle, WA 98144-2301 | 2016-07-06 |
| 1992156004 | Barbara Federspiel | Mechanotherapist | 1489 Hillspring Rd, Bellingham, WA 98226-8825 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on HEATHER 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.