TINA BLACK (NPI# 1750853305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750853305 |
| Entity Type | Individual |
| Full Name | TINA BLACK |
| Practice Address |
24325 Caney Rd Rosedale NY 11422-2329 |
| Practice Telephone | 3476533465 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 304043-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 164WOOOOX | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750749578 | Tina Black | Social Worker | 4200 Northside Pkwy Nw Bldg 7, Atlanta, GA 30327-3007 | 2016-02-08 |
| 1083982045 | Tina Black | Doula | 210 Sparks Dr, Kelso, WA 98626-1818 | 2011-12-06 |
| 1013087428 | Tina Marie Black | Occupational Therapist | 4502 Summer Gate Ct, Gainesville, GA 30506-4677 | 2006-11-09 |
| 1104252931 | Tina Roxanne Black | Chiropractor | 664 Sango Rd, Clarksville, TN 37043 | 2013-09-25 |
| 1174609754 | Tina M Black | Family Medicine | 850 Columbia Rd, Westlake, OH 44145-1493 | 2006-10-27 |
| Street Address |
24325 CANEY RD |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1386251759 | Daniela Chancy | Licensed Practical Nurse | 13608 Hook Creek Blvd Fl 1, Rosedale, NY 11422-1637 | 2020-09-29 |
| 1700498383 | Camille Lennon | Licensed Practical Nurse | 14748 Hook Creek Blvd, Rosedale, NY 11422-2906 | 2020-08-17 |
| 1699303784 | Mical White-huffstead | Licensed Practical Nurse | 13629 242nd St, Rosedale, NY 11422-1522 | 2020-04-01 |
| 1760019558 | Sandra Grant | Licensed Practical Nurse | 25360 149th Rd, Rosedale, NY 11422-2822 | 2020-03-24 |
| 1073163978 | Marie N Henry | Licensed Practical Nurse | 23912 148th Ave, Rosedale, NY 11422-3259 | 2019-09-13 |
| 1326697129 | Daphney Lariviere | Licensed Practical Nurse | 25339 149th Dr, Rosedale, NY 11422-2737 | 2019-09-05 |
| 1316592983 | Ann Pantry | Licensed Practical Nurse | 13624 241st St, Rosedale, NY 11422-1520 | 2019-08-09 |
| 1457917106 | Akina Foster | Licensed Practical Nurse | 25369 149th Ave, Rosedale, NY 11422-2819 | 2019-05-17 |
| 1316503063 | Jude Katia Milord | Licensed Practical Nurse | 12948 Hook Creek Blvd, Rosedale, NY 11422-1123 | 2019-05-17 |
| 1316502206 | Carlos Thompson | Licensed Practical Nurse | 25319 148th Ave, Rosedale, NY 11422-2829 | 2019-05-06 |
| Find all providers in ROSEDALE | ||||
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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.