ANDREA BLACK (NPI# 1750904058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750904058 |
| Entity Type | Individual |
| Full Name | ANDREA BLACK |
| Practice Address |
4721 Lamar St Wheat Ridge CO 80033-3648 |
| Practice Telephone | 3167377594 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689793432 | Andrea Black | Nutritionist | 214 Pine Street, Okanogan, WA 98840 | 2007-03-29 |
| 1336636026 | Andrea Black | Registered Nurse | 200 Penn St, Reading, PA 19602-1000 | 2018-04-18 |
| 1801263587 | Andrea Maurice Black | Pharmacist | 626 Olive St Sw, Cullman, AL 35055-5594 | 2015-08-28 |
| 1093079998 | Andrea Renee Black | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-26 |
| 1487922738 | Andrea M Black | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2011-12-01 |
| Street Address |
4721 LAMAR ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821569617 | Wesley Johnson | Student in an Organized Health Care Education/Training Program | 3945 Hoyt Ct, Wheat Ridge, CO 80033-4223 | 2018-12-06 |
| 1811542210 | Kelly A Lewis | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2019-08-03 |
| 1023597648 | Madison Hollis | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2018-08-14 |
| 1326564899 | Taryn Janelle Chin | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2017-08-16 |
| 1063936680 | Sara Wynne Bosik | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2017-07-26 |
| 1982009296 | Kristin Roth | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2014-10-29 |
| 1124465042 | Emily Haller | Student in an Organized Health Care Education/Training Program | 3810 Pierce St, Wheat Ridge, CO 80033-4940 | 2013-06-01 |
| 1104269836 | Valerie Devanney | Student in an Organized Health Care Education/Training Program | 3210 Lutheran Pkwy, Wheat Ridge, CO 80033-6019 | 2013-04-11 |
| 1023367729 | Kayla Stauder | Student in an Organized Health Care Education/Training Program | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2012-09-10 |
| 1376892372 | Jenna Aesha Robb | Student in an Organized Health Care Education/Training Program | 3810 Pierce St, Wheat Ridge, CO 80033-4940 | 2012-09-05 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on ANDREA 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.