MRS. DAWN BLACK


Address: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302
Phone: 8508838891

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).

Provider Overview

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

Taxonomy

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

Other Providers DAWN BLACK

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

Office Location

Street Address 307 BOATNER RD STE 114
City EGLIN AFB
State FL
Zip Code 32542-1302

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City EGLIN AFB
Zip Code 32542

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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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