RENATA VICTORA BLACK (NPI# 1083272546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083272546 |
| Entity Type | Individual |
| Full Name | RENATA VICTORA BLACK |
| Credential | FNP |
| Practice Address |
3301 Matlock Rd Arlington TX 76015-2908 |
| Practice Telephone | 3186170134 |
| Mailing Telephone | 6825092200 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP141722 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3301 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417786 | George Wisdom Abatso | Emergency Medicine | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2005-12-07 |
| 1275147944 | Conceptah Luchendo | Nurse Practitioner | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-09-01 |
| 1396361580 | Khomthorn P Cunvong | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-06-23 |
| 1922621846 | Heran Abiye | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-27 |
| 1669094678 | Allison Jane Walworth | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-13 |
| 1538781539 | Sumeet Kumar Gossain | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-12 |
| 1609498997 | Angela Issa | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-11 |
| 1427670785 | Joedwina Randine Gaston | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-09 |
| 1114549433 | Sahil Patel | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| 1083236319 | Jessenia Ariana Contreras | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912576 | Elizabeth Ngoc Pham | Nurse Practitioner | 1502 Grey Willow Ln, Arlington, TX 76002-4631 | 2020-11-02 |
| 1609474063 | Donica West | Nurse Practitioner | 1301 E Bardin Rd Unit 181591, Arlington, TX 76096-4263 | 2020-10-16 |
| 1487268108 | Celyn Iyoke | Nurse Practitioner | 8124 Stowe Springs Ln, Arlington, TX 76002-3775 | 2020-08-31 |
| 1225641558 | Nadia Winston | Nurse Practitioner | 616 Matlock Centre Cir, Arlington, TX 76015-2536 | 2020-08-26 |
| 1205453958 | Lewis Nchoga Nyantika | Nurse Practitioner | 715 N Fielder Rd Ste C, Arlington, TX 76012-4695 | 2020-06-29 |
| 1447874102 | Friday Uhunoma Aigbedion | Nurse Practitioner | 1201 N Watson Rd Ste 268, Arlington, TX 76006-6222 | 2020-05-29 |
| 1063049625 | Mission Metroplex, Inc. | Nurse Practitioner | 212 W South St, Arlington, TX 76010-7134 | 2020-03-24 |
| 1427688381 | Rebecca Baker | Nurse Practitioner | 103 S Mesquite St Ste B, Arlington, TX 76010-1132 | 2020-01-20 |
| 1891325023 | Qutavia Shanay Winding | Nurse Practitioner | 3211 W Division St Trlr 73, Arlington, TX 76012-3478 | 2020-01-15 |
| 1730728403 | Weight Away Health and Wellness | Nurse Practitioner | 1015 Gibbins Rd Ste C, Arlington, TX 76011-5615 | 2019-12-30 |
| Find all providers in ARLINGTON | ||||
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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.