CHELSEA R BLACK (NPI# 1972114551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972114551 |
| Entity Type | Individual |
| Full Name | CHELSEA R BLACK |
| Credential | RDH |
| Practice Address |
428 N 8th St Auburn IL 62615-1006 |
| Practice Telephone | 2177418136 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 02015698 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669960548 | Chelsea Black | Registered Nurse | 14651 Philippine St Apt 2105, Houston, TX 77040-6986 | 2018-04-26 |
| 1023463106 | Chelsea Black | Clinical Neuropsychologist | 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 | 2016-04-26 |
| 1780201095 | Chelsea Nicole Black | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-07-02 |
| 1669029179 | Chelsea Black | Speech-Language Pathologist | 11675 W Encanto Blvd, Avondale, AZ 85392-5185 | 2019-08-20 |
| 1487218764 | Chelsea Gebs Black | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612-4742 | 2019-04-23 |
| Street Address |
428 N 8TH ST |
| City | AUBURN |
| State | IL |
| Zip Code | 62615-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881027803 | Andrea Elise O'dell | Pharmacist | 414 N. 5th Street, Auburn, IL 62615 | 2013-08-13 |
| 1437419744 | Diane Marie Hagemann | Pharmacist | 15011 Woodland Trail Drive, Auburn, IL 62615 | 2012-05-21 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1841417052 | Ma. Marissa Remolana Acharon | Occupational Therapist | 304 W Maple Avenue, Auburn, IL 62615 | 2007-04-19 |
| 1346785672 | Auburn Dental Care | Dentist | 500 E Jackson St, Auburn, IL 62615 | 2016-12-22 |
| 1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
| 1124134721 | Auburn Comm Unit School Dist 10 | Local Education Agency (LEA) | 606 W North St, Auburn, IL 62615-1144 | 2006-08-23 |
| 1174698799 | Auburn Area Ambulance Service | Ambulance | 200 W Washington St, Auburn, IL 62615-1149 | 2006-11-21 |
| 1821098211 | Auburn Nursing and Rehabilitation | Skilled Nursing Facility | 304 W Maple Ave, Auburn, IL 62615-1177 | 2005-07-28 |
| 1700326048 | Brandy Brown | Non-emergency Medical Transport (VAN) | 404 S 9th St, Auburn, IL 62615-1357 | 2017-03-06 |
| Find all providers in zip 62615 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703362 | Kelli Leigh Kuhlenengel | Dental Hygienist | 2115 14th St Ste 200, Auburn, NE 68305-1760 | 2020-09-02 |
| 1831670041 | Debbie Kay Scott | Dental Hygienist | 4005 W Valley Hwy N, Auburn, WA 98001 | 2018-08-25 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1336489103 | Joseph Kyle Donaghey,dmd,llc | Dental Hygienist | 836 North Dean Road, Auburn, AL 36830 | 2013-02-15 |
| 1932480910 | Patricia E. Drennon | Dental Hygienist | 87 Sylvan Vista Dr., Auburn, CA 95603 | 2011-09-02 |
| 1952607483 | Mariaelena Rangel Simpson | Dental Hygienist | 23584 Woodhaven Pl, Auburn, CA 95602-8168 | 2011-01-31 |
| 1669608154 | Diane L Tomlinson | Dental Hygienist | 333 Hoguertel Hill Ct, Auburn, CA 95603-9312 | 2009-06-10 |
| 1427299460 | Cynthia Ann Leavitt | Dental Hygienist | 386 Minot Ave, Auburn, ME 04210-4331 | 2009-03-22 |
| 1306319926 | Michele Cross | Dental Hygienist | 17500 Se 392nd St, Auburn, WA 98092-9705 | 2019-01-07 |
| 1245702109 | Jamie Wood | Dental Hygienist | 17500 Se 392nd St, Auburn, WA 98092-9705 | 2018-12-17 |
| Find all providers in AUBURN | ||||
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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.