CATHERINE R BLACK


Address: 280 River Park Dr, Suite 200, Provo, UT 84604-5764
Phone: 8012234860

CATHERINE R BLACK (NPI# 1366623191) 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) 1366623191
Entity Type Individual
Full Name CATHERINE R BLACK
Practice Address 280 River Park Dr
Suite 200
Provo
UT 84604-5764
Mailing Address 280 River Park Dr
#200
Provo
UT 84604-5764
Practice Telephone 8012234860
Practice Fax Number 8013718993
Mailing Telephone 8012234860
Mailing Fax Number 8013718993
Enumeration Date 2007-11-20
Last Update Date 2014-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
198805-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Providers CATHERINE BLACK

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1669844817 Catherine Black Acupuncturist 275 Main St Unit G-001, Edwards, CO 81632-7806 2015-10-28
1962699967 Catherine V Black Counselor 2256 New Danville Pike, Lancaster, PA 17603-9666 2007-10-03
1649733536 Catherine E Black Counselor 63 Milltown Rd, East Brunswick, NJ 08816-2378 2019-04-09
1720579840 Catherine M Black Nurse Practitioner 1218 E Lancaster Ave, Bryn Mawr, PA 19010-2616 2018-05-24
1053608158 Catherine A Black Pharmacist 2500 N State St, Dept of Pharmacy Practice, Jackson, MS 39216-4500 2011-07-09
1992719603 Catherine J Black Nurse Practitioner 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-07-28
1780613018 Catherine C Black Physician Assistant 1501 N Campbell Avenue, Tucson, AZ 85724 2006-06-30

Office Location

Street Address 280 RIVER PARK DR
SUITE 200
City PROVO
State UT
Zip Code 84604-5764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467451609 Bret D Hilton Physician Assistant 280 River Park Dr, Suite 120, Provo, UT 84604-5764 2005-07-19
1164887097 Kristine Emanuelson Dietary Manager 280 River Park Dr, Suite 240, Provo, UT 84604-5764 2015-12-18
1083007652 Si Procedure Center Clinic/Center 280 River Park Dr, Suite 200, Provo, UT 84604-5764 2015-03-06
1750704532 Notus Imaging and Research Laboratories Radiology 280 River Park Dr, Suite 100, Provo, UT 84604-5764 2014-01-29
1508292780 Christian Degrey Nurse Practitioner 280 River Park Dr, 200, Provo, UT 84604-5764 2013-09-19
1437383379 Wesley D Wylie Md LLC Clinic/Center 280 River Park Dr, Provo, UT 84604-5764 2009-05-06
1720265432 J.m. Clayton, Inc. Plastic Surgery 280 River Park Dr, Suite 240, Provo, UT 84604-5764 2008-01-24
1174705198 Thomas D Myers Md PC Ophthalmology 280 River Park Dr, Suite 220, Provo, UT 84604-5764 2007-11-30
1588872691 J Riley Stringham Pain Medicine 280 River Park Dr, #200, Provo, UT 84604-5764 2007-05-21
1023049418 Daniel Rey Faber Anesthesiology 280 River Park Dr, #200, Provo, UT 84604-5764 2006-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750998860 Jeremy Llewellyn Nurse Practitioner 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 2020-09-24
1336765882 Julie Andrea Rogers Nurse Practitioner 428 W 4620 N, Provo, UT 84604-5537 2020-06-21
1992337208 Xiao Xiao Zou Hoffman Nurse Practitioner 1747 N 1500 W, Provo, UT 84604-1146 2020-02-05
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1174095855 Jared Hawkins Nurse Practitioner 1034 N 500 W # 84604, Provo, UT 84604-3380 2018-12-19
1891270062 Catherine Leilani Barrus Nurse Practitioner 2833 Indian Hills Cir, Provo, UT 84604-4333 2018-10-03
1760968804 Amanda Graves Nurse Practitioner 1900 N State St Ste 103, Provo, UT 84604-1354 2018-07-12
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1205356250 Gordon Dale Mills Jr. Nurse Practitioner 1055 N 500 W # 212, Provo, UT 84604-3305 2017-06-21
1770034845 Megan Mackenzie Zitting Nurse Practitioner 1437 E 1270 S, Provo, UT 84606-6527 2016-10-24
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Competitor

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City PROVO
Zip Code 84604

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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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