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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
280 RIVER PARK DR SUITE 200 |
City | PROVO |
State | UT |
Zip Code | 84604-5764 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 84604 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in PROVO |
Please comment or provide details below to improve the information on CATHERINE R 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.