PAULINE BLACK (NPI# 1427682111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427682111 |
| Entity Type | Individual |
| Full Name | PAULINE BLACK |
| Practice Address |
1001 Nut Tree Rd Ste 110 Vacaville CA 95687-4166 |
| Mailing Address |
331 Epic St Vacaville CA 95688-8875 |
| Practice Telephone | 7074551343 |
| Practice Fax Number | 7074557645 |
| Mailing Telephone | 5615684523 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013098 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 NUT TREE RD STE 110 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848813 | Eugenia Pamela Mosley | Nurse Practitioner | 5085 Quinn Rd Apt 5308, Vacaville, CA 95688-9566 | 2020-07-09 |
| 1245860824 | James D Parmer | Nurse Practitioner | 166 Asbury Dr, Vacaville, CA 95687-5003 | 2020-01-22 |
| 1598228389 | Connie Oh | Nurse Practitioner | 636 Brazelton Cir, Vacaville, CA 95688-8830 | 2019-04-09 |
| 1255731915 | Mary Dunning Garofalo | Nurse Practitioner | 100 Mills Rd, Vacaville, CA 95687-4633 | 2014-09-01 |
| 1710311337 | Marina M Bradley | Nurse Practitioner | 2060 Harbison Dr Ste D, Vacaville, CA 95687-3907 | 2013-08-30 |
| 1477000503 | Ronni Lindsay Trapanese | Nurse Practitioner | 1001 Nut Tree Rd, Vacaville, CA 95687-4166 | 2016-09-07 |
| 1629443262 | Jienelle Sagum Herndon | Nurse Practitioner | 600 Nut Tree Rd Ste 310, Vacaville, CA 95687-4686 | 2015-12-08 |
| 1326413121 | Cheryl Jobe | Nurse Practitioner | 421 Nut Tree Rd, Vacaville, CA 95687-3508 | 2015-12-04 |
| 1063844314 | Anita Semple | Nurse Practitioner | 313 Kendal St, Suite B, Vacaville, CA 95688-3960 | 2013-08-08 |
| 1275965295 | Megan Rodriguez Canova | Nurse Practitioner | 1000 Nut Tree Rd, Vacaville, CA 95687-4100 | 2013-08-01 |
| Find all providers in VACAVILLE | ||||
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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.