MRS. AMY L BLACK (NPI# 1033424148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033424148 |
| Entity Type | Individual |
| Full Name | MRS. AMY L BLACK |
| Credential | CNP |
| Practice Address |
30381 Chieftain Dr Logan OH 43138-9092 |
| Mailing Address |
Po Box 188 Chillicothe OH 45601-0188 |
| Practice Telephone | 7403852555 |
| Practice Fax Number | 7403803750 |
| Mailing Telephone | 7407734366 |
| Mailing Fax Number | 7407757855 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN275748- COA1 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP-11608 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3124318 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
| 1003385162 | Amy R Black | Behavioral Analyst | 84 Route 59 Ste 102, Suffern, NY 10901-4910 | 2018-11-19 |
| 1811354293 | Amy Black | Counselor | 2360 N 1450 E, Moroni, UT 84646-0461 | 2016-01-15 |
| 1750756946 | Amy Sue Black | Marriage & Family Therapist | 4329 Solun Rd, Indianapolis, IN 46221-3030 | 2015-12-14 |
| 1477959716 | Amy Black | Lactation Consultant, Non-RN | 14601 Estate Dr, Woodbridge, VA 22193-3203 | 2014-11-14 |
| 1942336672 | Amy Louise Black | Developmental Therapist | 6448 N Oak Park Ave, 2n, Chicago, IL 60631-2018 | 2007-02-26 |
| 1447241617 | Amy Williams Black | Orthopaedic Surgery | Department of Orthopedics, 6600 Bruceville Road, Sacramento, CA 95823 | 2005-11-04 |
| 1447871801 | Amy Catherine Black | Counselor | 2813 S Main St Fl 2, Corona, CA 92882-5942 | 2020-04-27 |
| 1447785274 | Amy Black | Massage Therapist | 2115 Morgan Wieland Ln, Apt 106, Lakeland, FL 33813-3181 | 2017-04-30 |
| 1821542317 | Amy Black | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2016-08-12 |
| Street Address |
30381 CHIEFTAIN DR |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-9092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909219 | Douglas B Carr | Family Medicine | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2005-06-01 |
| 1184242836 | James Marlin Hoffer | Pharmacist | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2020-07-09 |
| 1144864869 | Leeann Kline | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-11-06 |
| 1215582622 | Michael Kwame Adjokatse | Behavioral Analyst | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-08-04 |
| 1962967463 | Alicia Woods | Dietitian, Registered | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-02-08 |
| 1659835791 | Samantha H Woods | Pharmacist | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2019-01-23 |
| 1831673268 | Lucinda Kraft | Licensed Practical Nurse | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-09-21 |
| 1811474547 | Kimberly Davis | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-07-25 |
| 1619462892 | Susan Hedges | Registered Nurse | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-06-29 |
| 1649777384 | Dava Roberts | Pharmacy Technician | 30381 Chieftain Dr, Logan, OH 43138-9092 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519085 | Savannah Alder | Nurse Practitioner | 82 N 1250 E, Logan, UT 84321-4920 | 2020-05-11 |
| 1912537887 | Kathryn Grace Quezada | Nurse Practitioner | 165 E 100 N Apt E, Logan, UT 84321-4630 | 2020-01-20 |
| 1104395375 | William Ray Watkins Jr. | Nurse Practitioner | 214 Hanging Rock Hwy, Logan, WV 25601-5102 | 2018-11-17 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1265959704 | Benjamin Tackett | Nurse Practitioner | 140 Stollings Ave Ste 1, Logan, WV 25601-4035 | 2017-08-25 |
| 1295275717 | Jennifer Courtney Coleman | Nurse Practitioner | 25 Mae St, Logan, OH 43138-8965 | 2017-03-02 |
| 1194100701 | Kendall Gilbert Brown | Nurse Practitioner | 1225 Valley View Dr, Logan, UT 84321-4585 | 2015-07-24 |
| 1255731014 | Donalee Thomson | Nurse Practitioner | 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 | 2014-08-29 |
| 1265717250 | Martin L. Codispoti | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2011-10-21 |
| 1922242262 | Cynthia Lynn Hazelwood | Nurse Practitioner | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2009-04-30 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on MRS. AMY L 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.