ELLIE CATHARINE BLACK (NPI# 1962009324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962009324 |
| Entity Type | Individual |
| Full Name | ELLIE CATHARINE BLACK |
| Credential | FNP |
| Practice Address |
376 Vallombrosa Ave Chico CA 95926-3997 |
| Mailing Address |
Po Box 2185 Truckee CA 96160-2185 |
| Practice Telephone | 5308911676 |
| Mailing Telephone | 5304144815 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95014901 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
376 VALLOMBROSA AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313565 | Frederick M David | Family Medicine | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2005-11-14 |
| 1801493424 | Carleigh Brekke | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2020-10-06 |
| 1083221295 | Jaimie Malone | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3997 | 2020-09-30 |
| 1134647654 | Christina Lee | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2017-09-05 |
| 1093233686 | Patricia Stein | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2017-09-02 |
| 1801256532 | Sasha Musso | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2016-02-23 |
| 1144686908 | Lottie Pierce | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2016-01-11 |
| 1609254309 | Mark Allen | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2015-05-13 |
| 1306235825 | Carrie Larsen | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2015-01-21 |
| 1154636645 | Vyacheslav Belous | Anesthesiology | 376 Vallombrosa Ave, Ste 99, Chico, CA 95926-3900 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356710909 | Margaret Clair Lingafeldt | Nurse Practitioner | 1719 Arbutus Ave, Chico, CA 95926-2330 | 2015-09-24 |
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| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.