SJ BLACK ENTERPRISES INC. (NPI# 1326400185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326400185 |
| Entity Type | Organization |
| Organization Name | SJ BLACK ENTERPRISES INC. |
| Practice Address |
298 Jeffery Ln Cabot AR 72023-8576 |
| Practice Telephone | 5014138498 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | SHERRY BLACK (PRESIDENT) |
| Authorized Official Telephone | 5014138498 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A001200 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
298 JEFFERY LN |
| City | CABOT |
| State | AR |
| Zip Code | 72023-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489590 | Susan Rachelle Robinson | Nurse Practitioner | 1721 Pioneer Dr, Cabot, AR 72023-7634 | 2018-12-21 |
| 1386032811 | Jennifer Lynn Dunlap | Nurse Practitioner | 68 Krooked Kreek Cir, Cabot, AR 72023-3844 | 2015-01-06 |
| 1790100329 | Randy Abbott | Nurse Practitioner | 1815 Mount Tabor Rd, Cabot, AR 72023-9506 | 2014-02-18 |
| 1972849586 | Cynthia Jearnetta Wilborn | Nurse Practitioner | 5830 Highway 5, Cabot, AR 72023-7328 | 2012-12-31 |
| 1639303340 | Julie A. Calvery-carman | Nurse Practitioner | 1064 Oliver Ln, Cabot, AR 72023 | 2009-05-08 |
| 1528082401 | Cheria Russenberger | Nurse Practitioner | 801 W Locust St, Cabot, AR 72023-2414 | 2006-07-26 |
| 1518916949 | Barbara Darlene Byrd | Nurse Practitioner | 14 Tahoe Ct, Cabot, AR 72023-2883 | 2006-05-10 |
| 1629050786 | Marie C Moreau | Nurse Practitioner | 112 Marwood Road Suite 5000, Cabot, PA 16023 | 2005-11-15 |
| 1700414703 | Lindsey Allison Nichols | Nurse Practitioner | 2251 Bill Foster Memorial Hwy Ste B, Cabot, AR 72023-7200 | 2020-03-27 |
| 1225671605 | Dawn Lindsey Dnp, Aprn Pllc | Nurse Practitioner | 2796 S 2nd St Ste E, Cabot, AR 72023-7043 | 2019-10-18 |
| Find all providers in CABOT | ||||
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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.