LORI ANN BLACK (NPI# 1174812879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174812879 |
Entity Type | Individual |
Full Name | LORI ANN BLACK |
Practice Address |
109 South 1st Madill OK 73446 |
Practice Telephone | 5807953731 |
Mailing Telephone | 5807953731 |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200049040 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265576458 | Lori S. Black | Pharmacist | 2956 New Easley Hwy, Greenville, SC 29611-7132 | 2007-02-19 |
1669533782 | Lori Ann Black | Physical Therapist | 407 4th St, Newport, TN 37821-3755 | 2006-12-12 |
1497813794 | Lori A Black | Dietitian, Registered | 4321 Carothers Parkway, Franklin, TN 37067 | 2006-12-05 |
Street Address |
109 SOUTH 1ST |
City | MADILL |
State | OK |
Zip Code | 73446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376838086 | Nicole Idleman | Counselor | 109 South 1st, Madill, OK 73446 | 2011-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104306943 | Jennifer Duncan | Case Manager/Care Coordinator | 605 S. 1st, Madill, OK 73446 | 2018-08-21 |
1710228853 | Southeastern Oklahoma Family Services, Inc. | Community/Behavioral Health | 605 1st Street, Madill, OK 73446 | 2013-03-14 |
1285975581 | Madill Dental Company | Dentist | 804 S 1st St Suite C, Madill, OK 73446 | 2013-03-12 |
1598090318 | Marshall County Ems District | Ambulance | Four Hospital Drive, Madill, OK 73446 | 2009-10-13 |
1598969800 | Tanya L Magness | Counselor | 300 E Wolf St, Madill, OK 73446 | 2007-06-12 |
1629100524 | Stacy James Rendon | Occupational Therapy Assistant | 210 Brookside Drive, Madill, OK 73446 | 2007-03-09 |
1194881367 | Carren D Tshirlig | Occupational Therapist | Hwy 99 S, Madill, OK 73446 | 2006-12-29 |
1912000886 | Courtney Thomas | Physical Therapy Assistant | 310 Brookside Dr., Madill, OK 73446 | 2006-09-06 |
1700993797 | Wapiti Orthopedics PC | Orthopaedic Surgery | #1 Hospital Drive, Madill, OK 73446 | 2006-08-24 |
1639192727 | Baptist Healthcare of Oklahoma, Inc | Home Health | 1 One Hospital Drive, Madill, OK 73446 | 2006-07-26 |
Find all providers in zip 73446 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194232835 | Kathryn Stowe | Counselor | 605 S 1st St, Madill, OK 73446-3807 | 2018-01-03 |
1659731651 | Jamee Hill | Counselor | 605 S 1st St, Madill, OK 73446-3807 | 2016-03-03 |
1245630904 | Brief Interventions, Inc. | Counselor | 112 S 1st St, Madill, OK 73446-3426 | 2014-09-01 |
1487094199 | Maria Taylor Ferrell | Counselor | 605 S 1st St, Madill, OK 73446-3807 | 2013-06-26 |
1659715134 | Bryan Rowley | Counselor | 105 Plaza, Madill, OK 73446-2248 | 2013-04-26 |
1942584487 | Breann N Eppler | Counselor | 605 S 1st St, Madill, OK 73446-3807 | 2011-10-03 |
1295016376 | Victoria Ellen Marshall | Counselor | 105 Plaza, Madill, OK 73446-2248 | 2011-09-02 |
1639459548 | Calina Taline Mills | Counselor | 109 S 1st St, Madill, OK 73446-3425 | 2011-08-23 |
1376838086 | Nicole Idleman | Counselor | 109 South 1st, Madill, OK 73446 | 2011-06-10 |
1306139258 | Heather M Farmer | Counselor | 105 Plaza, Madill, OK 73446-2248 | 2011-05-25 |
Find all providers in MADILL |
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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.