JESSICA BLACK (NPI# 1417580234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417580234 |
Entity Type | Individual |
Full Name | JESSICA BLACK |
Practice Address |
640 May St Harlan KY 40831-1628 |
Practice Telephone | 6062738096 |
Mailing Telephone | 6062738096 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
1851894547 | Jessica J Black | Psychologist | 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 | 2018-03-09 |
1619482569 | Jessica Ann Black | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1, Wasilla, AK 99654-7271 | 2017-12-13 |
1104187764 | Jessica Lauren Black | Dental Hygienist | 1413 Gold Buckle Ct, Redlands, CA 92374-2790 | 2012-05-30 |
1366676439 | Jessica Donze Black | Dietitian, Registered | 230 N Granada St, Arlington, VA 22203-1322 | 2009-05-05 |
1134305337 | Jessica K Black | Naturopath | 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 | 2008-01-17 |
1336102607 | Jessica Anne Black | Occupational Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2006-04-08 |
1902403488 | Jessica Laurel Black | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-10-07 |
1619529500 | Jessica Dawn Black | Counselor | 1576 S 500 W, Suite 102, Bountiful, UT 84010 | 2019-07-11 |
Street Address |
640 MAY ST |
City | HARLAN |
State | KY |
Zip Code | 40831-1628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795261 | Hometown Urgent Care | Clinic/Center | 101 Green Terrace, Harlan, KY 40831 | 2020-09-21 |
1093243727 | Right Choice Counseling | Counselor | 53 Meadowbrook Lane, Harlan, KY 40831 | 2017-05-25 |
1639515935 | Harlan County Health Department Inc/ Cawood Elementary School | Public Health or Welfare | 51 Nola St, Cawood, KY 40831 | 2013-05-14 |
1487090775 | Harlan County Health Department Inc/james A Cawood Elementary School | Public Health or Welfare | 269 Ball Park Road, Harlan, KY 40831 | 2013-05-14 |
1336278175 | Newton Samuel Guy IIi | Dentist | 303 Mound St, Harlan, KY 40831 | 2007-03-05 |
1033256904 | Earlene A. Napier | Counselor | 15 Eula Gray Street, Harlan, KY 40831 | 2007-01-31 |
1538265400 | Kirpal S Sidhu | Orthopaedic Surgery | 29 Eula Gray Street, Harlan, KY 40831 | 2006-09-16 |
1508977067 | Gursharan Kaur Sidhu | Pediatrics | 29 Eula Gray St, Gursharan Kaur Sidhu Md, Harlan, KY 40831 | 2006-08-31 |
1649229725 | Timothy Logan Yost | Physical Therapist | 100 Professional Lane, Suite 102, Harlan, KY 40831 | 2006-05-08 |
1881693471 | Medical Services of America Inc | Emergency Response System Companies | 2307 W Hwy 72, Bldg B, Unit 2, Harlan, KY 40831 | 2005-07-18 |
Find all providers in zip 40831 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
1679199624 | Brenda Daily | Technician | 2955 Reid Rd, Owensboro, KY 42303-2816 | 2020-06-24 |
1164051348 | Pamela Gay Garner | Technician | 1524 Gooch Pike, Paint Lick, KY 40461 | 2020-04-08 |
1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
1750917365 | Regina Yvonne Hensley | Technician | 1600 Gardiner Ln Apt 217, Louisville, KY 40205-2715 | 2020-03-14 |
1790324192 | Judy Gale Niceley | Technician | 307 Hemlock Circle, Mount Vernan, KY 40456-6502 | 2020-01-02 |
1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
1578106456 | Mamie Marcum | Technician | 543 Camp Branch Road, Webbville, KY 41180 | 2019-10-23 |
Find all providers with the same taxonomy |
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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.