CHRISTINE BLACK (NPI# 1932650702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932650702 |
| Entity Type | Individual |
| Full Name | CHRISTINE BLACK |
| Practice Address |
1450 Alta Vista St Dubuque IA 52001-4327 |
| Practice Telephone | 5635887156 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
075158 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710458 | Christine Maire Black | Nurse Practitioner | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2020-05-05 |
| 1184026528 | Christine Black | Counselor | 408 Virginia St, Paris, TN 38242-5341 | 2014-09-17 |
| 1740525302 | Christine Warner Black | Counselor | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2012-12-06 |
| 1013282169 | Christine E Black | Obstetrics & Gynecology | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2012-03-21 |
| 1073814828 | Christine Marie Black | Social Worker | 1 Kwan Plz, Potosi, MO 63664-1435 | 2010-11-10 |
| 1427361468 | Christine Black | Physical Therapist | 527 Pocket Rd, Hurt, VA 24563-2023 | 2010-07-20 |
| Street Address |
1450 ALTA VISTA ST |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215945613 | Kevin Melchert | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2006-08-03 |
| 1427680230 | Genna Sobieszczyk | Student in an Organized Health Care Education/Training Program | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2020-02-10 |
| 1689206534 | Charlie Harris | Student in an Organized Health Care Education/Training Program | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2020-02-09 |
| 1982236824 | Noah Smith | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2020-02-09 |
| 1518599455 | Carson Michael Buck | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2020-02-09 |
| 1972159275 | Aaron Herbst | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2019-08-13 |
| 1497316624 | Amanda Elizabeth Neuhaus | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4399 | 2019-06-27 |
| 1366855686 | Adam Burke | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2014-06-04 |
| 1235352006 | Nathan Daniel Newman | Specialist/Technologist | 1450 Alta Vista St, Box 212, Dubuque, IA 52001-4327 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509569 | Alyssa Ann Clark | Specialist/Technologist | 1150 Edina St, Dubuque, IA 52001-4203 | 2020-02-09 |
| 1679131510 | Bailey Caroline Sams | Specialist/Technologist | 1920 Alta Vista St, Dubuque, IA 52001-4336 | 2019-06-05 |
| 1710473749 | Hannah Dentlinger | Specialist/Technologist | 2631 Millstone Dr, Dubuque, IA 52002-2940 | 2018-07-02 |
| 1811412844 | Tyler Anthony Krogh | Specialist/Technologist | 2000 University Ave, Dubuque, IA 52001-5050 | 2017-08-10 |
| 1841730553 | Molly Jae Pilcher | Specialist/Technologist | 2005 Kane St, Dubuque, IA 52001-0538 | 2017-02-28 |
| 1811244908 | Sean Murdoch | Specialist/Technologist | 1800 Admiral Sheehy Dr, Dubuque, IA 52001-2379 | 2012-08-08 |
| 1922288463 | Megan Weber | Specialist/Technologist | 3715 Pennsylvania Ave, Activities/athletics Office, Dubuque, IA 52002-3728 | 2007-11-13 |
| 1548273220 | Sarah Ann Accacian | Specialist/Technologist | 1550 Clarke Dr, Dubuque, IA 52001-3117 | 2006-08-14 |
| 1215945613 | Kevin Melchert | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2006-08-03 |
| 1982236824 | Noah Smith | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2020-02-09 |
| Find all providers in DUBUQUE | ||||
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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.