SUSAN ELIZABETH BLACK (NPI# 1356813687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356813687 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH BLACK |
| Credential | LVN |
| Practice Address |
3379 S Forty Dr Weatherford TX 76085-8222 |
| Practice Telephone | 8179035178 |
| Mailing Telephone | 8179035178 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 223835 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669794798 | Susan Black | Family Medicine | 12 Muskegon Shore Rd, Harpswell, ME 04079-3792 | 2010-02-16 |
| 1528213451 | Susan Ann Black | Occupational Therapist | 4408 W Walnut St, Apt/suite, Rogers, AR 72756-9526 | 2008-11-19 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1366599565 | Susan E. Black Sr. | Speech-Language Pathologist | 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 | 2007-01-03 |
| 1497810386 | Susan Ann Black | Psychiatry & Neurology | 1504 Galena St, Aurora, CO 80010-2219 | 2006-12-22 |
| 1598862575 | Susan Esther Black | Marriage & Family Therapist | 2 Spring Ln, Fairfield, CA 94534-1429 | 2006-09-20 |
| 1578935409 | Susan Black | Behavioral Analyst | 13017 Artesia Blvd Ste D134, Cerritos, CA 90703-1385 | 2015-10-30 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1073896783 | Susan Black | Pharmacist | 326 W Lincoln Ave, Fergus Falls, MN 56537-2027 | 2011-09-20 |
| 1679696074 | Susan Gail Black | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-09 |
| Street Address |
3379 S FORTY DR |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76085-8222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318939 | Sandra Ann Buchanan | Technician | 4200 Old Springton Rd, Weatherford, TX 76085 | 2020-02-17 |
| 1649595737 | Stephanie Sudderth | Physical Therapist | 150 Willow Creek Drive #107, Weatherford, TX 76085 | 2010-03-31 |
| 1033685235 | Liana Elise Mills | Audiologist | 150 Willow Creek Dr Ste 105, Weatherford, TX 76085 | 2018-10-16 |
| 1598309734 | Rafath Creamier | Nurse Practitioner | 242 Miramar Cir, Weatherford, TX 76085-2829 | 2019-10-31 |
| 1225502040 | Lena Wilson Peterson | Registered Nurse | 243 Miramar Cir, Weatherford, TX 76085-2830 | 2019-01-15 |
| 1700875408 | Duane P Riegel | Nurse Anesthetist, Certified Registered | 106 Timaaron Ct, Weatherford, TX 76085-3025 | 2005-10-17 |
| 1205156924 | Jessica Stacy | Speech-Language Pathologist | 150 Willow Creek Dr, #107, Weatherford, TX 76085-3651 | 2010-06-03 |
| 1699200931 | Kendall Campbell | Speech-Language Pathologist | 150 Willow Creek Dr, Weatherford, TX 76085-3651 | 2017-04-24 |
| 1821465840 | Bridget Bass | Occupational Therapist | 150 Willow Creek Dr, Suite 105, Weatherford, TX 76085-3651 | 2015-08-25 |
| 1265846562 | Jaclyn Butterworth | Speech-Language Pathologist | 150 Willow Creek Dr, Suite 105, Weatherford, TX 76085-3651 | 2014-06-13 |
| Find all providers in zip 76085 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1326681875 | Tabitha L Baxter | Licensed Vocational Nurse | 184 Brazos Valley Ln, Weatherford, TX 76087-6647 | 2019-10-28 |
| 1063995009 | Jessica Tracy Karol | Licensed Vocational Nurse | 300 S Blue Jay Ct, Weatherford, TX 76088-3878 | 2018-09-14 |
| 1285116012 | Alicia Miller | Licensed Vocational Nurse | 1104 Curtis Dr Apt A, Weatherford, TX 76086-5657 | 2018-08-29 |
| 1104306679 | Diana Christine Hobbs | Licensed Vocational Nurse | 359 Dalhart Dr, Weatherford, TX 76086-3526 | 2018-08-15 |
| 1255819181 | Kaylee Timms | Licensed Vocational Nurse | 506 E 5th St, Weatherford, TX 76086-1816 | 2018-08-02 |
| 1457857674 | Carol Ann Albrikes | Licensed Vocational Nurse | 105 Pats Ct, Weatherford, TX 76087-7782 | 2018-04-05 |
| 1033612866 | Maria Rodriguez | Licensed Vocational Nurse | 112 Futurity Ln, Weatherford, TX 76087-4606 | 2018-03-18 |
| 1760504302 | Amy Kristin Kearby | Licensed Vocational Nurse | 560 Green Acres Rd, Weatherford, TX 76088-8240 | 2007-04-04 |
| 1013127083 | Tina Denise Wofford | Licensed Vocational Nurse | 925 Santa Fe Dr, Suite 107, Weatherford, TX 76086-5866 | 2007-05-22 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 76085 |
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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.