MS. JENNIFER LYNN BLACK (NPI# 1336740786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336740786 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN BLACK |
| Credential | RN |
| Practice Address |
24919 S 4420 Road Vinita OK 74301 |
| Practice Telephone | 9182569210 |
| Practice Fax Number | 9182566356 |
| Mailing Telephone | 9182569210 |
| Mailing Fax Number | 9182566356 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 107607 | OK | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172769 | Jennifer Lee Black | Nurse Practitioner | 14509 State Route 127 Ste B, Carlyle, IL 62231-6485 | 2018-01-24 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1912370354 | Jennifer Black | Social Worker | 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | 2015-11-06 |
| 1609263821 | Jennifer Black | Acupuncturist | 5812 N Figueroa St, Los Angeles, CA 90042-4228 | 2015-04-26 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1669816500 | Jennifer Black | Counselor | 916 Nw 42nd St, Oklahoma City, OK 73118-6805 | 2013-04-22 |
| 1821381096 | Jennifer Black | Counselor | 560 Mill St Ste 250, Reno, NV 89502-1089 | 2011-05-20 |
| 1376872754 | Jennifer A Black | Massage Therapist | 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 | 2009-12-15 |
| 1801120662 | Jennifer Black | Speech-Language Pathologist | 3778 Hanover St, Fort Myers, FL 33901-8503 | 2009-09-28 |
| Street Address |
24919 S 4420 ROAD |
| City | VINITA |
| State | OK |
| Zip Code | 74301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| 1659621225 | Brittany Renee English | Pharmacist | 725 South Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964399 | Allison L Andrasko | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-05-26 |
| 1861013070 | Chad H Wiens | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2020-04-28 |
| 1023668514 | Elisabeth Tenneh Bimba | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2019-09-16 |
| 1699238683 | Elizabeth Lee Ann Wright | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2019-04-08 |
| 1427537109 | Bruce Dale Austin | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2018-08-13 |
| 1568940807 | Lyndsay Lanee Piguet | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2018-07-30 |
| 1760971535 | Crystal Lozier | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2018-05-07 |
| 1831605518 | Maranda Kay Kight | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-12-18 |
| 1972030682 | Krista Long | Registered Nurse | 715 N Foreman St, Vinita, OK 74301 | 2017-05-12 |
| 1548702145 | Joseph Hart | Registered Nurse | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2016-11-14 |
| Find all providers in VINITA | ||||
Please comment or provide details below to improve the information on MS. JENNIFER LYNN 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.