DR. LISA BREAUX BLACK (NPI# 1851484307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851484307 |
| Entity Type | Individual |
| Full Name | DR. LISA BREAUX BLACK |
| Credential | M.D. |
| Practice Address |
895 Verret St Houma LA 70360-4635 |
| Practice Telephone | 9852003225 |
| Practice Fax Number | 9857465240 |
| Mailing Telephone | 9852003225 |
| Mailing Fax Number | 9857461204 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22558 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1490466 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 502 Barrow Street, Houma, LA 70360 | 9858762150 | 9858767413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396706 | Lisa Marie Black | Physical Therapy Assistant | 3433 Cranston Cir, Highlands Ranch, CO 80126-3620 | 2012-08-16 |
| 1780944520 | Lisa Anne Black | Nurse Practitioner | 220 S Courtenay Pkwy, Suite B, Merritt Island, FL 32952-4893 | 2012-05-28 |
| 1659631240 | Lisa Black | Physical Therapist | 11524 Spaulding St, Omaha, NE 68164-2366 | 2012-05-17 |
| 1497086219 | Lisa Lynn Black | Midwife | 3917 Hickory Bend Trl, Mckinney, TX 75071-2776 | 2010-01-18 |
| 1871780387 | Lisa Gail Black | Massage Therapist | 525 13th Avenue, Huntington, WV 25701 | 2007-09-28 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| 1730152653 | Lisa B Black | Internal Medicine | 701 E Marshall St Ste 640, West Chester, PA 19380-4412 | 2006-02-10 |
| 1922607696 | Lisa Black | Home Health Aide | 1119 S New York Ave, Wellston, OH 45692-2427 | 2020-10-22 |
| 1720582398 | Lisa Black | Occupational Therapist | 7445 Allen Rd Ste 102, Allen Park, MI 48101-1992 | 2018-03-20 |
| 1609302678 | Lisa Black | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-05-11 |
| Street Address |
895 VERRET ST |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264552 | Candice Roberts | Nurse Practitioner | 895 Verret St, Houma, LA 70360-4635 | 2019-06-17 |
| 1164088134 | Lisa Breaux Black, Md | Clinic/Center | 895 Verret St, Houma, LA 70360-4635 | 2019-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265756266 | Watkins Family Medicine LLC | Family Medicine | 928 School St, Houma, LA 70360-4628 | 2010-03-19 |
| 1023271756 | Barrett Day | Family Medicine | 6896 W Park Ave, Houma, LA 70364-2664 | 2008-07-02 |
| 1902955073 | Michael L Watkins | Family Medicine | 606 Liberty St, Houma, LA 70360-4622 | 2007-01-09 |
| 1629004601 | William H. St. Martin | Family Medicine | 818 Verret Street, Houma, LA 70360 | 2006-06-23 |
| 1437118890 | Brian J Matherne | Family Medicine | 291 Liberty St, Houma, LA 70360-4423 | 2006-03-22 |
| 1497219539 | Kelsey Morris | Family Medicine | 1007 Belanger St, Houma, LA 70360-4411 | 2019-01-23 |
| 1891107900 | Nathan Sutton | Family Medicine | 8166 Main St, Houma, LA 70360-3404 | 2014-05-22 |
| 1871849620 | Brittany Wyger | Family Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2012-07-31 |
| 1740546381 | James Matthew Watkins Jr. | Family Medicine | 502 Barrow St, Houma, LA 70360-4606 | 2012-04-09 |
| 1245525419 | Nicholas J Rau | Family Medicine | 818 Verret Street, Houma, LA 70360 | 2011-06-15 |
| Find all providers in HOUMA | ||||
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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.