MRS. DAWN BLACK (NPI# 1538158753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538158753 |
Entity Type | Individual |
Full Name | MRS. DAWN BLACK |
Credential | MSN |
Practice Address |
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302 |
Practice Telephone | 8508838891 |
Mailing Telephone | 8508838891 |
Enumeration Date | 2005-10-20 |
Last Update Date | 2012-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP 2747772 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669985792 | Dawn Michelle Black | Nurse Practitioner | 33464 Schoenherr Rd Ste 140, Sterling Heights, MI 48312-6319 | 2017-11-11 |
1730231549 | Dawn M Black | Massage Therapist | 2555 Sumner Ave, Hoquiam, WA 98550-3930 | 2007-01-18 |
1710980909 | Dawn Dickson Black | Obstetrics & Gynecology | 7900 Fannin St Ste 4000, Obgyn Medical Center, Pllc, Houston, TX 77054-2934 | 2005-05-23 |
Street Address |
307 BOATNER RD STE 114 |
City | EGLIN AFB |
State | FL |
Zip Code | 32542-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134111453 | Thomas James Cantilina | Family Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2005-08-23 |
1861009466 | Patricia Allison Kellogg | Dietitian, Registered | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-09-28 |
1396367389 | Matthew Christopher Little | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-05-12 |
1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
1447885181 | Deserea Marie Shoemaker | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1282 | 2020-03-03 |
1457985764 | Anaya Baeza | Nurse Practitioner | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-02-25 |
1043853435 | Sandra K Hoffa | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-10-18 |
1861042624 | Amy W Snow | Pharmacist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-09-13 |
1760042501 | Alison Natalie Snyder | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-06-14 |
1689237232 | Clint Copeland | Physical Therapist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
Find all providers in zip 32542 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275842031 | Melody Love Cobb | Nurse Practitioner | 307 Boatner Rd, Obgyn Clinic, Eglin Afb, FL 32542-1302 | 2010-09-28 |
1518951177 | Lenora Stanley | Nurse Practitioner | 307 Boatner Rd, Sutie 114, Eglin Afb, FL 32542-1302 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861005464 | Sharon Resto | Nurse Practitioner | 16206 Breckinmore Ln, Tampa, FL 33625-1004 | 2020-08-25 |
1346863552 | Danielle Selig Jaeger | Nurse Practitioner | 27 Flowertree Dr, Ormond Beach, FL 32174-3091 | 2020-05-21 |
1568096550 | Denise Nicely | Nurse Practitioner | 5100 Station Way, Sarasota, FL 34233-3221 | 2020-02-27 |
1104450592 | Kionna Sadie Pitts | Nurse Practitioner | 2902 N Armenia Ave Ste 100, Tampa, FL 33607-1661 | 2020-02-25 |
1720610090 | Patricia Rivero | Nurse Practitioner | 445 Woodcrest Rd, Key Biscayne, FL 33149-1838 | 2020-02-05 |
1215567524 | Kristina Chardon | Nurse Practitioner | 11500 University Blvd Ste B, Orlando, FL 32817-2197 | 2020-01-26 |
1962043554 | Marcel Bernadette Nagel | Nurse Practitioner | 1523 Ashlee Branch Way, Saint Johns, FL 32259-1923 | 2019-10-04 |
1336798412 | Vicky Arlene Smith | Nurse Practitioner | 501 Pointe Allyson Way, Orlando, FL 32825-5973 | 2019-09-10 |
1003476011 | Angela Marie Bumpus | Nurse Practitioner | 9121 Lantern Oak Way, Land O Lakes, FL 34638-2607 | 2019-06-20 |
1396301230 | Mary Elizabeth Buie | Nurse Practitioner | 5457 Baldwin Park St, Orlando, FL 32814-6749 | 2019-05-16 |
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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.