JENNIFER A BLACK


Address: 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902
Phone: 5056153487

JENNIFER A BLACK (NPI# 1376872754) 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) 1376872754
Entity Type Individual
Full Name JENNIFER A BLACK
Other Name JENNIFER A BLACK
Practice Address 3809 Atrisco Dr Nw
Suite C
Albuquerque
NM 87120-4902
Practice Telephone 5056153487
Practice Fax Number 5053528966
Mailing Telephone 5056153487
Mailing Fax Number 5053528966
Enumeration Date 2009-12-15
Last Update Date 2014-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 7301 NM Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1679978191 Jennifer Black Counselor 20302 Col Glenn Road, Little Rock, AR 72210 2014-10-27
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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
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Office Location

Street Address 3809 ATRISCO DR NW
SUITE C
City ALBUQUERQUE
State NM
Zip Code 87120-4902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629318399 Medicine Massage Massage Therapist 3809 Atrisco Dr Nw, Albuquerque, NM 87120-4902 2013-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971919 Erica Denise Ortiz Social Worker 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 2020-10-27
1770133589 Laura Lee Smith Technician 5112 Vista De Luz Nw, Albuquerque, NM 87120 2019-09-13
1285282715 Aiden Charles Martinez Case Manager/Care Coordinator 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 2019-08-28
1831753508 Jennifer Lydia Castro Nurse Practitioner 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 2019-04-27
1518425065 Jean Louise Ramsey Counselor Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 2019-03-04
1689147365 Stairway Recovery, LLC Family Medicine 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 2019-01-06
1417443276 Kyle Thomas Lantz Dentist 2800-a Coors Blvd Nw, Albuquerque, NM 87120 2018-07-05
1437669736 Beatrice Ottomanelli Day Training/Habilitation Specialist 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 2017-10-02
1740705516 Alianza Home Care, LLC Home Health 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 2017-08-13
1366963399 Jamie Farris Registered Nurse 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 2017-06-29
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396369997 Darla Rae Shrock Massage Therapist 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 2020-05-31
1669000592 Eric Revels Massage Therapist University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 2020-03-27
1629615950 Kristen Leblanc Massage Therapist 2508 Garfield Ave Se Ste B3, Albuquerque, NM 87106-3697 2019-12-05
1851936280 Caroline Meyers Massage Therapist 9204 Menaul Blvd Ne Ste 4nw, Albuquerque, NM 87112-2256 2019-11-08
1609433804 Jacqueline Collette Johnson Massage Therapist 612 Madeira Dr Se, Albuquerque, NM 87108-3614 2019-05-22
1194381624 Kalina Holian Massage Therapist 401 Shirley St Ne, Albuquerque, NM 87123-2938 2019-05-09
1831654466 Martina Dahl Solis Massage Therapist 4414 Towner Ave Ne Ste A, Albuquerque, NM 87110-3910 2019-02-07
1023592722 Cristina Rose Gasca Massage Therapist 2921 Carlisle Blvd Ne Ste 104, Albuquerque, NM 87110-2850 2018-09-18
1639652449 Sara Lynn Barker Massage Therapist 4601 Paradise Blvd Nw Ste 112, Albuquerque, NM 87114-6152 2018-09-08
1710469002 Stephani Mccoy Massage Therapist 6211 San Mateo Blvd Ne Ste 200, Albuquerque, NM 87109-3534 2018-09-03
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Competitor

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City ALBUQUERQUE
Zip Code 87120

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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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