MS. TINA ROXANNE BLACK (NPI# 1104252931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104252931 |
| Entity Type | Individual |
| Full Name | MS. TINA ROXANNE BLACK |
| Credential | D.C. |
| Practice Address |
664 Sango Rd Clarksville TN 37043 |
| Mailing Address |
664 Sango Rd. Clarksville TN 37043 |
| Practice Telephone | 9313681996 |
| Practice Fax Number | 9313680448 |
| Mailing Telephone | 9313681996 |
| Mailing Fax Number | 9313680448 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000001775 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853305 | Tina Black | Licensed Practical Nurse | 24325 Caney Rd, Rosedale, NY 11422-2329 | 2018-12-20 |
| 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 |
| 1174609754 | Tina M Black | Family Medicine | 850 Columbia Rd, Westlake, OH 44145-1493 | 2006-10-27 |
| Street Address |
664 SANGO RD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145826 | Kelly Jean Burwell | Chiropractor | 664 Sango Rd, Clarksville, TN 37043-5489 | 2006-11-30 |
| 1750512307 | Jennifer Renee Rousseau | Chiropractor | 664 Sango Rd, Clarksville, TN 37043-5489 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043847593 | Elevation Chiropractic Pllc | Chiropractor | 1825 Madison St Ste D, Clarksville, TN 37043-6589 | 2020-03-25 |
| 1265983639 | Fort Campbell Chiropractic Pllc | Chiropractor | 1881 Fort Campbell Blvd, Suite B, Clarksville, TN 37042-5109 | 2016-10-20 |
| 1669921169 | French Family Chiropractic | Chiropractor | 1990 Madison St, Clarksville, TN 37043-8071 | 2016-09-25 |
| 1245623446 | Dr. Keith Wein D.c. Psc | Chiropractor | 2328 Redwood Pl, Clarksville, IN 47129-1280 | 2015-03-12 |
| 1225380280 | Brenda Colleen O'neil | Chiropractor | 204 Harnett Ct Ste B, Clarksville, TN 37043-2067 | 2012-10-15 |
| 1356690754 | Clarksville Chiropractic Center, Pllc | Chiropractor | 1636 Madison Street, Clarksville, TN 37043 | 2012-08-31 |
| 1851646186 | Laura Alexandra Colman | Chiropractor | 894 Highway 76, Suite 104, Clarksville, TN 37043-5395 | 2012-07-24 |
| 1699035493 | Steven P Bailey D.c, P.c | Chiropractor | 2121 Wilma Rudolph Blvd Ste A, Clarksville, TN 37040-6877 | 2012-05-25 |
| 1053680538 | Dr. David Mark Allen PC | Chiropractor | 625 N Riverside Dr, Clarksville, TN 37040-3127 | 2011-12-29 |
| 1679872790 | Care Chiropractic Pllc | Chiropractor | 2106 Trenton Rd Ste A, Clarksville, TN 37040-1633 | 2011-03-16 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on MS. TINA ROXANNE 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.