MS. ANGELA DAWN TIERNO BLACKTHORNE


Address: 720 Wood St, Eureka, CA 95501-4413
Phone: 7072682990

MS. ANGELA DAWN TIERNO BLACKTHORNE (NPI# 1215537998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215537998
Entity Type Individual
Full Name MS. ANGELA DAWN TIERNO BLACKTHORNE
Practice Address 720 Wood St
Eureka
CA 95501-4413
Practice Telephone 7072682990
Mailing Telephone 7072682990
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 720 WOOD ST
City EUREKA
State CA
Zip Code 95501-4413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780646521 Janese Charpentier Nurse Practitioner 720 Wood St, Eureka, CA 95501-4413 2006-04-05
1164029534 Laura Tansley Conger Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1679170120 Robert William Williams Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1144827049 James Rager Anderson Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-04
1710593173 Jody Swan Student in an Organized Health Care Education/Training Program 720 Wood St, Eureka, CA 95501-4413 2020-09-21
1669088340 Eric Hall Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-09-18
1073127403 Christiane Desir Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-09-02
1093325508 Edmund Sanez Lao Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-08-09
1730799180 Robert Christopher Amerman Counselor 720 Wood St, Eureka, CA 95501-4413 2020-07-31
1659980837 Erin Lorraine Keilty Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538784707 Tiffany Cherie Hall Counselor 1219 10th St, Eureka, CA 95501-2024 2020-06-12
1053945527 Gayla Carol Judd Counselor 944 N St, Eureka, CA 95501-2045 2020-02-24
1750913646 Donald Ray Rivers Counselor 1024 N St, Eureka, CA 95501-2047 2020-02-07
1619455680 Melina Jane Gold Counselor 2107 1st St, Eureka, CA 95501-0840 2018-08-01
1265921639 Glacier Clinic LLC Counselor 99 Mills Spring Rd Ste 1, Eureka, MT 59917 2018-05-01
1376057182 North Coast Substance Abuse Council Counselor 1205 Myrtle Ave, Eureka, CA 95501-1224 2017-12-01
1710126347 Lisa C Silva Counselor 2734 Hubbard Lane, Eureka, CA 95501 2009-02-04
1245368331 Eric Helland Nelson Counselor 3940 Cedar St, Eureka, CA 95503-7615 2007-03-01
1326003344 Eric John Larson Counselor 109 E Eureka, Eureka, IL 61530 2006-04-20
1700491123 Leta May Perriello Counselor 2107 1st St, Eureka, CA 95501-0840 2020-09-11
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Competitor

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City EUREKA
Zip Code 95501

Improve Information

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Dataset Information

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.

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