EVA MARIE BLACK (NPI# 1134765886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134765886 |
| Entity Type | Individual |
| Full Name | EVA MARIE BLACK |
| Practice Address |
305 Riverdale Dr Columbus MS 39702-2911 |
| Practice Telephone | 6625494050 |
| Mailing Telephone | 6625494050 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901756 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 99999999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093256174 | Eva Black | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2017-03-09 |
| Street Address |
305 RIVERDALE DR |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39702-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1215276175 | Dutch Medical Clinics, Inc | Clinic/Center | 3654-b New Hope Rd, Columbus, MS 39702 | 2013-02-12 |
| 1740552439 | Bobbie Sue Pearson | Nurse Practitioner | 3654-b New Hope Road, Columbus, MS 39702 | 2012-01-27 |
| 1023193927 | James D Wiygul | Dentist | 220 Alabama Street, Columbus, MS 39702 | 2006-10-26 |
| 1821185398 | Children's Health Center of Columbus, Inc. | Pediatrics | 114 N Lehmberg Road, Columbus, MS 39702 | 2006-10-06 |
| 1265449367 | Windsor Place Nursing Center Inc | Skilled Nursing Facility | 81 Windsor Blvd, Columbus, MS 39702 | 2006-08-02 |
| 1568421675 | Carey Mccarter | Nurse Practitioner | Aurora Health and Rehabilitation, 310 Emerald Dr, Columbus, MS 39702 | 2006-03-20 |
| 1811976368 | Aurora Australis, LLC | Skilled Nursing Facility | 310 Emerald Dr, Columbus, MS 39702 | 2006-01-12 |
| 1992298905 | Adam Holmes | Non-emergency Medical Transport (VAN) | 2798 Lake Lowndes Rd, Columbus, MS 39702 | 2018-06-13 |
| 1639692833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201b Alabama St, Columbus, MS 39702 | 2017-07-19 |
| Find all providers in zip 39702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.