JESSICA ELLEN BLACK (NPI# 1992311120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992311120 |
| Entity Type | Individual |
| Full Name | JESSICA ELLEN BLACK |
| Credential | MS, NC |
| Practice Address |
1239 Liberty St Apt 225 El Cerrito CA 94530-2347 |
| Practice Telephone | 5107052680 |
| Mailing Telephone | 5107052680 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 Solano Ave, Albany, CA 947062147 | 5107052680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1851894547 | Jessica J Black | Psychologist | 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 | 2018-03-09 |
| 1619482569 | Jessica Ann Black | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1, Wasilla, AK 99654-7271 | 2017-12-13 |
| 1104187764 | Jessica Lauren Black | Dental Hygienist | 1413 Gold Buckle Ct, Redlands, CA 92374-2790 | 2012-05-30 |
| 1366676439 | Jessica Donze Black | Dietitian, Registered | 230 N Granada St, Arlington, VA 22203-1322 | 2009-05-05 |
| 1134305337 | Jessica K Black | Naturopath | 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 | 2008-01-17 |
| 1336102607 | Jessica Anne Black | Occupational Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2006-04-08 |
| 1902403488 | Jessica Laurel Black | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-10-07 |
| 1619529500 | Jessica Dawn Black | Counselor | 1576 S 500 W, Suite 102, Bountiful, UT 84010 | 2019-07-11 |
| Street Address |
1239 LIBERTY ST APT 225 |
| City | EL CERRITO |
| State | CA |
| Zip Code | 94530-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659034 | Laura Penna Firme | Acupuncturist | 10329 San Pablo Ave, El Cerrito, CA 94530 | 2019-10-01 |
| 1306490941 | Caroline Danielle Storer | Social Worker | 11175 San Pablo Avenue, El Cerrito, CA 94530 | 2019-08-01 |
| 1063987519 | Ellen Sue Friedman | Marriage & Family Therapist | 139 Ashbury Ave., El Cerrito, CA 94530 | 2018-10-11 |
| 1568947653 | Melissa Azzolino | Behavioral Analyst | 320 Ashbury Avenue, El Cerrito, CA 94530 | 2018-09-25 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| 1619413887 | Georgia B Cardwell | Counselor | 3319 Carlson Blvd, El Cerrito, CA 94530 | 2017-01-12 |
| 1477924959 | Amrit Kaur Khalsa | Registered Nurse | 2218 Lawrence St, El Cerrito, CA 94530 | 2015-10-09 |
| 1003209933 | Leticia Mariana Gonzalez | Nurse Practitioner | Planned Parenthood El Cerrito Health Center, 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2015-03-17 |
| 1740505262 | Planned Parenthood Shasta Diablo Inc | Clinic/Center | 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2010-03-29 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| Find all providers in zip 94530 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667623 | The Simple Leaf, LLC | Nutritionist | 4824 Craner Ave Apt 214, North Hollywood, CA 91601-5133 | 2020-10-20 |
| 1265049191 | Chanti Randolph | Nutritionist | 6677 Santa Monica Blvd Apt 1307, Los Angeles, CA 90038-1392 | 2020-09-24 |
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1003425596 | Cassandra Collins | Nutritionist | 2411 Via Mariposa, San Dimas, CA 91773-4421 | 2020-07-30 |
| 1326660432 | Evan Demarco | Nutritionist | 1524 38th St, Sacramento, CA 95816-6712 | 2020-05-12 |
| 1861020620 | Tooba Syed | Nutritionist | 1170 Beethoven Cmn Unit 307, Fremont, CA 94538-5613 | 2020-03-28 |
| 1588299853 | Susannah Johnson | Nutritionist | 539 San Bernardino Ave, Newport Beach, CA 92663-4812 | 2020-03-07 |
| 1740815471 | Mia Rigden | Nutritionist | 807 Navy St, Santa Monica, CA 90405-5638 | 2020-03-03 |
| 1427683184 | Christina S Blankenburg | Nutritionist | 1545 Pine St Apt 907, San Francisco, CA 94109-4684 | 2020-03-03 |
| 1497389787 | Jill Raduziner | Nutritionist | 410 Red Cedar St, Tahoe City, CA 96145 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | EL CERRITO |
| Zip Code | 94530 |
Please comment or provide details below to improve the information on JESSICA ELLEN BLACK.
| 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.