WARREN BLACK (NPI# 1861878076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861878076 |
| Entity Type | Individual |
| Full Name | WARREN BLACK |
| Practice Address |
9887 Adams St Joint Base Lewis-mccord WA 98433 |
| Mailing Address |
9887 Adams St Joint Base Lewis Mcchord WA 98433-1401 |
| Practice Telephone | 9157912882 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
302016 | TX | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722013 | Warren Charles Black | Dentist | 201s Michigan Ave, Big Rapids, MI 49307-1809 | 2007-05-22 |
| 1932502002 | Warren Benjamin Black | Nurse Practitioner | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2014-10-03 |
| Street Address |
9887 ADAMS ST |
| City | JOINT BASE LEWIS-MCCORD |
| State | WA |
| Zip Code | 98433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967564 | Sandra R Hubbard | Technician | 495 Truman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1831705938 | Thomas W Hubbard | Technician | 495 Thurman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1932711967 | Susan Linda Hunter | Technician | 2627 E 4th Ave, Spokane, WA 99202-4024 | 2020-08-20 |
| 1053946400 | Rachel Ann Lahn | Technician | 4020 25th Ave W, Seattle, WA 98199-1551 | 2020-03-05 |
| 1356976799 | Lynn Adele Pankonin | Technician | 23201 W Charles Rd, Nine Mile Falls, WA 99026-9744 | 2020-03-05 |
| 1558995308 | Cheyenne Renae Calvert | Technician | 13918 Ne 91st St, Vancouver, WA 98682-2972 | 2020-03-01 |
| 1154962215 | Sally Davidson | Technician | 1705 Nw 3rd St, Battle Ground, WA 98604-4352 | 2019-09-30 |
| 1255988689 | Bonnie Anne Mager | Technician | 15220 W Dairyview Ln, Cheney, WA 99004-8839 | 2019-08-21 |
| 1114413838 | Zachary C Dorsett | Technician | 15404 Se 4th St, Bellevue, WA 98007-5316 | 2018-07-05 |
| 1245561943 | Gloryann Bonebrake | Technician | 6704 Ne 199th St, Vancouver, WA 98686-1752 | 2010-01-19 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS-MCCORD |
| Zip Code | 98433 |
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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.