MARY M BLACK (NPI# 1407855034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407855034 |
Entity Type | Individual |
Full Name | MARY M BLACK |
Practice Address |
4300 Fayetteville Rd Lumberton NC 28358-2677 |
Mailing Address |
300 W 27th St Attn: William J Gutekunst Lumberton NC 28358-3075 |
Practice Telephone | 9106715830 |
Mailing Telephone | 9106715000 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | L000588 | NC | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356813984 | Mary Ann Black | Registered Nurse | 1334 Dallas Ave, Winter Park, FL 32789-3641 | 2018-12-20 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1750823456 | Mary Black | Case Manager/Care Coordinator | 1427 Oakland St, Saint Clair, MI 48079-5122 | 2016-11-11 |
1730353715 | Mary K Black | Occupational Therapist | 16 Jacobs Mill Ct, Elgin, SC 29045-8646 | 2008-04-21 |
1669532107 | Mary Ellen Black | Counselor | 102 East Gambier Street, Mount Vernon, OH 43050 | 2006-12-12 |
1093289803 | Mary Ward Black | Psychologist | 320 Lester Hall, University, MS 38677 | 2019-01-15 |
1760997431 | Mary Black | Registered Nurse | 1058 College Dr, New Town, ND 58763-9112 | 2017-12-04 |
1417375510 | Mary E Black | Family Medicine | 825 E Rundberg Ln Ste B1, Austin, TX 78753-4860 | 2014-04-04 |
1710200233 | Mary Ann Black | Pharmacist | 200 W Belleview Ave, Englewood, CO 80110-6610 | 2010-03-11 |
1750573515 | Mary Frances Black | Registered Nurse | 401 E 34th St, Indianapolis, IN 46205-3754 | 2007-08-15 |
Street Address |
4300 FAYETTEVILLE RD |
City | LUMBERTON |
State | NC |
Zip Code | 28358-2677 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083099568 | Mandesa Malika Smith | Registered Nurse | 4300 Fayetteville Rd, Lumberton, NC 28358 | 2015-07-24 |
1669600912 | Lashauna R Deese | Obstetrics & Gynecology | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2009-06-25 |
1699902650 | Southeastern Regional Physician Services | Clinic/Center | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2009-06-17 |
1710104708 | Connie Lee Canady | Midwife | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2007-04-19 |
1215153168 | Lisa Joy Blake | Advanced Practice Midwife | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2007-04-18 |
1376517243 | Breton C Juberg | Obstetrics & Gynecology | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-02-15 |
1689664336 | Donald R Mckinley | Obstetrics & Gynecology | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
Find all providers in zip 28358 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518342823 | Amber L Woodard | Dietitian, Registered | 7636 S Boardwalk, Lumberton, TX 77657-6909 | 2015-07-28 |
1548691405 | Kalyn Cryer | Dietitian, Registered | 140 Church Loop, Lumberton, TX 77657-7337 | 2013-12-03 |
1285245092 | Conrad Kutil Tyrrell | Dietitian, Registered | 1150 Pine Run Dr, Lumberton, NC 28358-2118 | 2020-08-14 |
1548771702 | Anna Leah Matteson | Dietitian, Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2017-10-16 |
1174861439 | Natalie Long | Dietitian, Registered | 1027 N Main St, Lumberton, TX 77657-7362 | 2013-01-22 |
1437484615 | Amber M. Gordon | Dietitian, Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2009-10-06 |
1144555327 | Celeste S. Guillot | Dietitian, Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2009-10-06 |
1821323098 | Elisha P Fisher | Dietitian, Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2009-10-06 |
1548595721 | Jacqueline A. Waugh | Dietitian, Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2009-10-06 |
1659553634 | Deena Joanne Locklear | Dietitian, Registered | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2007-11-30 |
Find all providers in LUMBERTON |
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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.