JARYN S BLACK (NPI# 1699392415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699392415 |
| Entity Type | Individual |
| Full Name | JARYN S BLACK |
| Practice Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172231200 |
| Mailing Telephone | 2172238400 |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209021441 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1005 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729087 | Mary F Barthel | Internal Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-06-08 |
| 1861093528 | Kayla Cathleen Fletcher | Pharmacist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-07 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1164023636 | Whitney Brock | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-02 |
| 1851918635 | Mitchell Andrew Coval | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-29 |
| 1326677535 | Angie Rose | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-04-08 |
| 1386274843 | Lisa Marie Orton | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-01-23 |
| 1497393847 | Benjamin Nash | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-17 |
| 1851938476 | Nichole Suzanne Stanley | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-02 |
| 1871143792 | Nathan Haws | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1447867601 | Caitlin Lynch | Nurse Practitioner | 41 Pilgrim Rd, Quincy, MA 02169-1210 | 2020-09-30 |
| 1881202380 | Julie Ann Dorgan | Nurse Practitioner | 11 Lee St, Quincy, MA 02169-2830 | 2020-07-21 |
| 1386265551 | Alexis Schantz | Nurse Practitioner | 4800 Maine St Ste 48-108, Quincy, IL 62305-5875 | 2020-04-29 |
| 1346884459 | Laurie Ann Bohne | Nurse Practitioner | 1229 Spring Lake Rd, Quincy, IL 62305-7763 | 2019-10-31 |
| 1497305486 | Kristina Anele Jarvis | Nurse Practitioner | 2 Hancock St Apt 208, Quincy, MA 02171-1760 | 2019-09-12 |
| 1699330399 | Amanda Hubner | Nurse Practitioner | 1707 N 12th St Bldg 29m, Quincy, IL 62301-1355 | 2019-05-08 |
| 1356813398 | Deann L Isherwood | Nurse Practitioner | 1250 Hancock St Fl 3, Quincy, MA 02169-4339 | 2018-12-31 |
| 1952813073 | Bing Xiao | Nurse Practitioner | 142 Quincy Shore Dr Unit 152, Quincy, MA 02171-2924 | 2017-10-30 |
| 1366960130 | Jessica Elizabeth Althide | Nurse Practitioner | 927 Broadway St Ste G31, Quincy, IL 62301-2724 | 2017-08-31 |
| Find all providers in QUINCY | ||||
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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.