MRS. MICHELLE M BLACK (NPI# 1770851065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770851065 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE M BLACK |
| Credential | R.D. |
| Practice Address |
2020 W Wells St Milwaukee WI 53233-2720 |
| Practice Telephone | 4149372122 |
| Practice Fax Number | 4149372021 |
| Mailing Telephone | 4149372122 |
| Mailing Fax Number | 4149372021 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1031883 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356714893 | Michelle Lynn Jochim Black | Psychologist | 3800 Park Ave, Saint Louis, MO 63110-2514 | 2015-11-05 |
| 1598889123 | Michelle Raegene Black | Specialist/Technologist, Other | 1200 Cherokee St, Unit #203, Denver, CO 80204-3664 | 2007-03-19 |
| 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 |
| Street Address |
2020 W WELLS ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710071501 | Milwaukee Center for Independence Inc | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2006-10-03 |
| 1649831322 | Emma Erickson | Physical Therapist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2019-06-24 |
| 1720565146 | Isamar Ornelas Ornelas | Occupational Therapist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2018-07-27 |
| 1124514245 | Shannon Jaglinski | Speech-Language Pathologist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2018-07-02 |
| 1831619360 | Lindsay Stecker | Physical Therapist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2017-06-26 |
| 1629510870 | Elizabeth Pettitt | Speech-Language Pathologist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2016-11-04 |
| 1316345515 | Audra Indermuehle | Occupational Therapist | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2014-12-21 |
| 1811318215 | Mcfi Home Care, LLC. | Home Health | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2014-01-02 |
| 1134560600 | Mcfi Health Clinic, LLC | Clinic/Center | 2020 W Wells St, Milwaukee, WI 53233-2720 | 2013-07-12 |
| 1326319336 | Sabrin Rizk | Occupational Therapist | 2020 W Wells St, Milwaukee Center for Independence, Milwaukee, WI 53233-2720 | 2012-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946226 | Andrew Conrad Senger | Dietitian, Registered | 2266 N Prospect Ave Ste 304, Milwaukee, WI 53202-6306 | 2020-06-14 |
| 1255956868 | Erin Maas | Dietitian, Registered | 4034 W Stonebridge Ct, Milwaukee, WI 53221-5749 | 2020-06-09 |
| 1982241808 | Angela Ellis | Dietitian, Registered | 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 | 2019-12-10 |
| 1477098861 | Mary Radovich | Dietitian, Registered | 303 E Dover St, Milwaukee, WI 53207-2003 | 2016-12-21 |
| 1023447919 | Laurie Meyer | Dietitian, Registered | 7405 N Skyline Ln, Milwaukee, WI 53217-3327 | 2013-11-01 |
| 1578900023 | Elena Teresa Marincic | Dietitian, Registered | 3237 S. 16th Street, Milwaukee, WI 53215 | 2013-05-23 |
| 1376989954 | Ann Marie Sherry | Dietitian, Registered | 5000 W. Chambers St., Milwaukee, WI 53210-1688 | 2013-05-22 |
| 1124463559 | Shannon Nicole Pieronek | Dietitian, Registered | 5015 W Burleigh St, Milwaukee, WI 53210-1662 | 2013-04-29 |
| 1275883431 | Kendra Kay Bridgewater | Dietitian, Registered | 9633 W Center St, Milwaukee, WI 53222-4524 | 2012-09-14 |
| 1083916175 | Debra Lynn Tressler | Dietitian, Registered | 2349 S 51st St, Apt 204, Milwaukee, WI 53219-2394 | 2010-11-23 |
| Find all providers in MILWAUKEE | ||||
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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.