ROBERT CLINT BLACK (NPI# 1538434097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538434097 |
| Entity Type | Individual |
| Full Name | ROBERT CLINT BLACK |
| Credential | RN |
| Practice Address |
1169 Broderick Rd Omro WI 54963-1091 |
| Practice Telephone | 2406033648 |
| Mailing Telephone | 2406033648 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 162432-30 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336624535 | Robert G Black Sr. | Physical Therapist | 3550 Harrison Blvd Ste D, Ogden, UT 84403-2081 | 2018-10-03 |
| 1629583471 | Robert D Black | Counselor | 2569 Lakefield Trl, Marietta, GA 30064-5764 | 2017-12-01 |
| 1285039735 | Robert Black | Hearing Instrument Specialist | 1012 Gay St, Portsmouth, OH 45662-3456 | 2014-10-27 |
| 1013186246 | Robert Black | Chiropractor | 1270 5th Ave Apt 5t, New York, NY 10029-3421 | 2008-02-21 |
| 1457499428 | Robert Grant Black | Specialist | 285 Vista Drive, Suite A, Pocatello, ID 83201 | 2007-02-02 |
| 1134107576 | Robert Michael Black | Family Medicine | 40 Okatie Center Blvd S, Suite 205, Okatie, SC 29909-7507 | 2006-01-05 |
| 1902808827 | Robert D Black | Internal Medicine | 3600 Gaston Avenue, Suite 806, Dallas, TX 75246-1808 | 2005-08-11 |
| 1003373713 | Robert William Black | Counselor | 995 Gateway Center Way Ste 300, San Diego, CA 92102-4550 | 2019-02-28 |
| 1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
| 1497209829 | Robert Marcus Black | Pharmacist | 1500 N Trenton St, Ruston, LA 71270-2328 | 2016-08-15 |
| Street Address |
1169 BRODERICK RD |
| City | OMRO |
| State | WI |
| Zip Code | 54963-1091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871801621 | Chad Meyer | Occupational Therapy Assistant | 500 Grant Ave., Omro, WI 54963 | 2010-09-15 |
| 1659584779 | Kimberly Rae Bartley | Speech-Language Pathologist | 500 S. Grant Avenue, Omro, WI 54963 | 2007-05-07 |
| 1649374273 | Thomas Dowling | Dentist | 1771 E Main St, Omro, WI 54963-0503 | 2006-09-12 |
| 1487077061 | Tina Morey | Registered Nurse | 430 N Webster Ave, Omro, WI 54963-1032 | 2014-02-01 |
| 1548452105 | School District of Omro | Local Education Agency (LEA) | 455 Fox Trl, Omro, WI 54963-1136 | 2007-08-16 |
| 1124410923 | Sarah Jane Stinemates | Licensed Practical Nurse | 441 Willow St, Omro, WI 54963-1148 | 2015-03-03 |
| 1790752020 | Thomas Robert Machak | Dentist | 123 W Main St, Omro, WI 54963-1333 | 2006-03-06 |
| 1780929836 | Weber Eye Care, LLC | Optometrist | 100 W Main St, Omro, WI 54963-1334 | 2012-11-30 |
| 1336791342 | Robert Ihssen | Speech-Language Pathologist | 500 Grant Ave, Omro, WI 54963-1342 | 2019-07-10 |
| 1467920017 | Omro Nursing and Rehab, LLC | Skilled Nursing Facility | 500 Grant Ave, Omro, WI 54963-1342 | 2018-11-12 |
| Find all providers in zip 54963 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558849562 | Jessica Ann Kitscha | Registered Nurse | 712 Mckinley Ave, Omro, WI 54963-1748 | 2018-08-01 |
| 1487077061 | Tina Morey | Registered Nurse | 430 N Webster Ave, Omro, WI 54963-1032 | 2014-02-01 |
| 1174771869 | Joyce Erin Ford | Registered Nurse | 9295 Eureka Lock Rd, Omro, WI 54963-9747 | 2008-09-05 |
| 1386811354 | Mandy Wilke | Registered Nurse | 4822 Rivermoor Rd, Omro, WI 54963-1451 | 2008-05-09 |
| 1225255441 | Mary Ann Bennett | Registered Nurse | 5442 Reighmoor Rd, Omro, WI 54963-9438 | 2007-04-19 |
| 1679535819 | Linda J. Backus | Registered Nurse | 4424 Harbor Village Dr, Omro, WI 54963-8229 | 2006-04-04 |
| 1548229156 | Sarah Lynn O'connell | Registered Nurse | 5510 Reighmoor Rd, Omro, WI 54963-9439 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659119 | Taylor Burgart | Registered Nurse | 2332 Ferry St, La Crosse, WI 54601-5144 | 2020-11-08 |
| 1013518786 | Elizabeth Kay Anderson | Registered Nurse | 105 Birch St E, Frederic, WI 54837-8985 | 2020-11-08 |
| 1851992739 | Jennifer J. Rutkowski | Registered Nurse | 310 E Highway St, Mount Hope, WI 53816-9796 | 2020-11-05 |
| 1588265847 | Dylan Apuli | Registered Nurse | 420 N East Ave, Waukesha, WI 53186-5034 | 2020-11-03 |
| 1972104271 | Beata Aniela Kasia | Registered Nurse | 6100 W State St Apt 331, Wauwatosa, WI 53213-2991 | 2020-11-03 |
| 1033710652 | Shaffaq Zaveri | Registered Nurse | N7259 Meyer Ct, Holmen, WI 54636 | 2020-11-02 |
| 1043810898 | Courtney L Schumacher | Registered Nurse | 162 Custer Ct, Green Bay, WI 54301-1243 | 2020-10-30 |
| 1336749456 | Nancy Renae Reiland | Registered Nurse | 2112 Fred St, Marinette, WI 54143-1228 | 2020-10-28 |
| 1841890282 | Debra Harris | Registered Nurse | 816 Fulton St, Wausau, WI 54403-4969 | 2020-10-26 |
| 1548869167 | Amy Lee Kurth | Registered Nurse | 923 Scott St, Wausau, WI 54403-4952 | 2020-10-23 |
| 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.