MICHELLE RAEGENE BLACK (NPI# 1598889123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598889123 |
| Entity Type | Individual |
| Full Name | MICHELLE RAEGENE BLACK |
| Other Name | SHELBY RAEGENE BLACK |
| Practice Address |
1200 Cherokee St Unit #203 Denver CO 80204-3664 |
| Mailing Address |
5303 E Evans Ave Suite #302 Denver CO 80222-5229 |
| Practice Telephone | 3036015171 |
| Practice Fax Number | 3032230981 |
| Mailing Telephone | 3037773788 |
| Mailing Fax Number | 3039407773 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
246ZS0400X | CO | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CIGNA | 5214875 | 01 |
| CO | ATHEM | 50416 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 1295879351 | Michelle Lee Black | Specialist/Technologist | 431 Pine St Ste G01, Burlington, VT 05401-4726 | 2007-02-20 |
| 1932700499 | Michelle Black | Pharmacist | 2753 W Market St, Fairlawn, OH 44333-4235 | 2020-11-02 |
| 1578030946 | Michelle Renee Black | Specialist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2018-10-24 |
| 1184121949 | Michelle Black | Psychologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-04-09 |
| 1235580762 | Michelle Lynn Black | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2016-06-27 |
| 1710331004 | Michelle Black | Counselor | 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 | 2016-04-22 |
| 1588037055 | Michelle Black | Psychologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2015-11-05 |
| 1295122059 | Michelle Black | Registered Nurse | 406 N Spring St, Mcminnville, TN 37110-2134 | 2015-04-20 |
| 1114334257 | Michelle Black | Student in an Organized Health Care Education/Training Program | 1375 55th St, Emeryville, CA 94608-2609 | 2014-07-22 |
| Street Address |
1200 CHEROKEE ST UNIT #203 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275891921 | Angela M Hambrick-perry | Counselor | 1200 Cherokee St, 304, Denver, CO 80204-3664 | 2012-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742453 | William Joseph Duca | Specialist/Technologist, Other | 1551 Larimer St Apt 2204, Denver, CO 80202-1636 | 2020-08-27 |
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1578737334 | Psa, Inc | Specialist/Technologist, Other | 547 S Corona St, Denver, CO 80209-4403 | 2008-04-14 |
| 1598984429 | Ken Allen Martin | Specialist/Technologist, Other | 9850 Federal Blvd Lot 105, Denver, CO 80260-5771 | 2007-04-25 |
| 1003939455 | David L Scherer | Specialist/Technologist, Other | 1661 S Trenton Ct, Denver, CO 80231-5686 | 2007-04-09 |
| 1881743706 | Mark Kendall Horton | Specialist/Technologist, Other | 2471 S Jasmine Pl, Suite 100, Denver, CO 80222-6229 | 2007-01-09 |
| 1558321992 | William Harvey Glos | Specialist/Technologist, Other | 4868 Wyandot St, Denver, CO 80221-1368 | 2006-03-27 |
| 1003215104 | Crystle J Tarraferro | Specialist/Technologist, Other | 2045 Franklin St, Denver, CO 80205-5437 | 2014-08-14 |
| 1902234719 | Noe Altamirano IIi | Specialist/Technologist, Other | 2045 Franklin St, Denver, CO 80205-5437 | 2013-10-15 |
| 1679858005 | Caroline Ortega | Specialist/Technologist, Other | 2045 Franklin St, Denver, CO 80205-5437 | 2011-10-17 |
| Find all providers in DENVER | ||||
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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.