MARY M BLACK


Address: 4300 Fayetteville Rd, Lumberton, NC 28358-2677
Phone: 9106715830

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered L000588 NC Dietary & Nutritional Service Providers

Other Providers MARY BLACK

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

Office Location

Street Address 4300 FAYETTEVILLE RD
City LUMBERTON
State NC
Zip Code 28358-2677

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LUMBERTON
Zip Code 28358

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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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