JENNIFER LEIGH BLACK (NPI# 1710347943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710347943 |
| Entity Type | Individual |
| Full Name | JENNIFER LEIGH BLACK |
| Credential | APRN |
| Practice Address |
1219 Main St Hamburg IA 51640-1300 |
| Practice Telephone | 7123822626 |
| Practice Fax Number | 7123821931 |
| Mailing Telephone | 9076314933 |
| Mailing Fax Number | 9076315933 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A149915 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 851 E Westpoint Dr, Suite B1, Wasilla, AK 996547191 | 9076314933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1689172769 | Jennifer Lee Black | Nurse Practitioner | 14509 State Route 127 Ste B, Carlyle, IL 62231-6485 | 2018-01-24 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1912370354 | Jennifer Black | Social Worker | 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | 2015-11-06 |
| 1609263821 | Jennifer Black | Acupuncturist | 5812 N Figueroa St, Los Angeles, CA 90042-4228 | 2015-04-26 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1669816500 | Jennifer Black | Counselor | 916 Nw 42nd St, Oklahoma City, OK 73118-6805 | 2013-04-22 |
| 1821381096 | Jennifer Black | Counselor | 560 Mill St Ste 250, Reno, NV 89502-1089 | 2011-05-20 |
| 1376872754 | Jennifer A Black | Massage Therapist | 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 | 2009-12-15 |
| Street Address |
1219 MAIN ST |
| City | HAMBURG |
| State | IA |
| Zip Code | 51640-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595714 | Thomas Homer Largen | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| 1003102187 | Tara R Goodman | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2011-06-27 |
| 1780905307 | Jaylene A Zanker | Physician Assistant | 1219 Main St, Hamburg, IA 51640-1300 | 2010-06-17 |
| 1124218706 | Medical Clinic PC | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2007-07-30 |
| 1427164789 | Michael Ourada | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-08-21 |
| 1891768024 | David Michael Owen | Nurse Practitioner | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-08 |
| 1285606731 | Kelli Elizabeth Woltemath | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| 1972575595 | Medical Clinic PC | Clinic/Center | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487792131 | Kipley Verne Anderson | Registered Nurse | 2959 Hwy 275, Hamburg, IA 51640 | 2007-02-02 |
| 1730130428 | Hamburg Fire Protection Agency | Ambulance | 711 Main St, Hamburg, IA 51640-1164 | 2006-05-15 |
| 1215084645 | Hamburg C.s.d. | Local Education Agency (LEA) | 105 E St, Hamburg, IA 51640-1221 | 2007-01-05 |
| 1104992866 | Stoner Drug Co | Durable Medical Equipment & Medical Supplies | 1105 Main St, Hamburg, IA 51640-1233 | 2006-11-27 |
| 1841247699 | Southwest Iowa Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2006-05-27 |
| 1770067779 | Megan Elizabeth Gardner | Pharmacist | 1105 Main St, Hamburg, IA 51640-1233 | 2018-09-17 |
| 1619164167 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2007-09-28 |
| 1467411355 | Hamburg Chiropractic Clinic PC | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-21 |
| 1649249012 | Michael John Gallagher | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-16 |
| 1578848594 | Timothy Allen Hendrickson | Licensed Practical Nurse | 1305 Bluff St, Hamburg, IA 51640-1345 | 2011-10-21 |
| Find all providers in zip 51640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851763643 | Jessica Heffelfinger | Nurse Practitioner | 9 Dave's Way, Hamburg, PA 19526-3096 | 2015-10-20 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1386950244 | Theresa Ann Weremblewski | Nurse Practitioner | 4477 Lake Shore Rd, Hamburg, NY 14075-1407 | 2010-08-28 |
| 1447884085 | Kathryn Ryan | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2020-02-22 |
| 1134761471 | Janele Noworyta | Nurse Practitioner | 4855 Camp Rd Ste 100, Hamburg, NY 14075-2600 | 2019-10-08 |
| 1487111399 | Colleen Trahey | Nurse Practitioner | 31 State Rt 23 N, Hamburg, NJ 07419-1434 | 2019-02-27 |
| 1033597802 | Tracey Ellen Longstreth | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2015-05-13 |
| 1689098378 | Kelly Schillinger | Nurse Practitioner | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 | 2014-02-14 |
| 1053755876 | Hamburg Nurse Practitioners In Adult & Family Health Care Pllc | Nurse Practitioner | 4535 Southwestern Blvd, Suite 705, Hamburg, NY 14075-1860 | 2013-04-23 |
| 1821350232 | Rebecca Lynn Amos | Nurse Practitioner | 319 W Parker St, Hamburg, AR 71646-3121 | 2012-06-12 |
| Find all providers in HAMBURG | ||||
Please comment or provide details below to improve the information on JENNIFER LEIGH BLACK.
| 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.