AMIE MARION BLACK (NPI# 1750594735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750594735 |
| Entity Type | Individual |
| Full Name | AMIE MARION BLACK |
| Credential | LMT |
| Practice Address |
29099 Hospital Rd Suite 103 Lake Arrowhead CA 92352-1476 |
| Mailing Address |
Po Box 1476 Lake Arrowhead CA 92352-1476 |
| Practice Telephone | 9093375928 |
| Practice Fax Number | 9093374027 |
| Mailing Telephone | 9093375928 |
| Mailing Fax Number | 9093374027 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | COB06240 | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429590 | Amie Miquelle Black | Specialist | 1990 W 7800 S, West Jordan, UT 84088-4025 | 2015-02-09 |
| 1558670851 | Amie Black | Marriage & Family Therapist | 900 5th St Ste 305, International Falls, MN 56649-2200 | 2010-10-04 |
| 1659541217 | Amie Black | Occupational Therapist | 6001 W William Cannon Dr, Suite 304, Austin, TX 78749-1968 | 2008-03-10 |
| Street Address |
29099 HOSPITAL RD SUITE 103 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706394 | Julie Anne Monroe | Family Medicine | 29099 Hospital Rd, Ste 204a, Lake Arrowhead, CA 92352 | 2005-08-09 |
| 1316418254 | Arrowhead Acupuncture | Clinic/Center | 29099 Hospital Rd, Suite 112 B, Lake Arrowhead, CA 92352 | 2018-12-17 |
| 1376781682 | Donald D Doty | Family Medicine | 29099 Hospital Rd, Ste 112, Lake Arrowhead, CA 92352 | 2009-01-23 |
| 1033311998 | Laurie Kathleen Everett | Physical Therapist | 29099 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-06-04 |
| 1780719393 | William Henry Deschner | Obstetrics & Gynecology | 29099 Hospital Rd, Ste 114, Lake Arrowhead, CA 92352-1570 | 2007-02-22 |
| 1407926215 | Pharmacy Service Inc | Pharmacy | 29099 Hospital Rd, Ste 101, Lake Arrowhead, CA 92352 | 2006-11-09 |
| 1548377666 | Kieth J. Burkart, O.d., A Professional Corporation | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-24 |
| 1366558314 | Henry D'antonio | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 | 2006-08-22 |
| 1891706354 | Kieth J Burkart | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-10 |
| 1376506857 | Erika Brigitte Herrmann | Nurse Anesthetist, Certified Registered | 29099 Hospital Rd, #200, Lake Arrowhead, CA 92352 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265912 | Jenny Alicia Jimenez | Technician, Other | 20353 Guffy Ln, Wildomar, CA 92595-8797 | 2020-11-03 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1285241778 | Lice Clinics of America- Pleasanton | Technician, Other | 818 Main St Ste H, Pleasanton, CA 94566-6648 | 2020-09-28 |
| 1063028348 | Kendall Marie Avila | Technician, Other | 28 Pueblo Vista Rd, Santa Barbara, CA 93103-2159 | 2020-09-22 |
| 1215542808 | Kelsie Arballo | Technician, Other | 10440 Maya Linda Rd Apt E307, San Diego, CA 92126-5262 | 2020-09-10 |
| 1104439199 | Zahraa Al Karkhi | Technician, Other | 10884 Calle Verde Apt 102, La Mesa, CA 91941-8502 | 2020-08-28 |
| 1841803269 | Mayra A Valdivia | Technician, Other | 26701 Quail Crk Apt 280, Laguna Hills, CA 92656-3062 | 2020-08-25 |
| 1669082434 | Jerome Prudencio Jr. | Technician, Other | 8816 La Riviera Dr Unit D, Sacramento, CA 95826-2075 | 2020-08-05 |
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
Please comment or provide details below to improve the information on AMIE MARION 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.