Kimberly Lucille Black (NPI# 1255878989, PAC ID# 4880978907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255878989 |
| PAC ID by PECOS | 4880978907 |
| Professional Enrollment ID | I20170308001746 |
| Full Name | Kimberly Lucille Black |
| Organization Legal Name | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Address |
404 E Hwy 248 5 Clark Center Cassville MO 65625-9136 |
| Phone Number | 4176718075 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527069277 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 404 E Hwy 248 5, Clark Center, Cassville, MO 65625-9136 | 4176718075 | CLARK COMMUNITY MENTAL HEALTH CENTER |
| 411 3rd St, Monett, MO 65708-2008 | 4174761000 | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Organization Legal Name | CLARK COMMUNITY MENTAL HEALTH CENTER |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ussery | Psychologist, Clinical | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Cody Ryan Jeffries | Psychologist, Clinical | Clark Community Mental Health Center | 406 College St, Greenfield, MO 65661-1346 |
| Charles L Graves | Psychiatry | Clark Community Mental Health Center | 411 3rd St, Monett, MO 65708-2008 |
| Christy Marie Henley | Nurse Practitioner | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Amy Sue Perry | Nurse Practitioner | Clark Community Mental Health Center | 411 3rd St, Monett, MO 65708-2008 |
| Matt C Costley | Psychologist, Clinical | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Amy Herbst | Nurse Practitioner | Clark Community Mental Health Center | 411 3rd St, Monett, MO 65708-2008 |
| Jamie L Randall Arell | Nurse Practitioner | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Tracy Knight | Clinical Social Worker | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Richard Lynn Brewer | Psychiatry | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Street Address |
404 E HWY 248 5 CLARK CENTER |
| City | CASSVILLE |
| State | MO |
| Zip | 65625-9136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karla Rae Fisher | Clinical Social Worker | Clark Community Mental Health Center | 404 E Hwy 248 5, Clark Center, Cassville, MO 65625-9136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian E Basham | Family Medicine | Ozark Tri-county Health Care Consortium | 1101 Main St, Cassville, MO 65625-1118 |
| Julie A Stapp | Nurse Practitioner | Ozark Tri-county Health Care Consortium | 1101 Main St, Cassville, MO 65625-1118 |
| Douglas C Johnson | Chiropractic | 907 Main St, Cassville, MO 65625-1333 | |
| Dale Assing | Optometry | 504 W St, Cassville, MO 65625-1462 | |
| Scott Allen Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Clinton R Loy | Emergency Medicine | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Tracy A Godfrey | Family Medicine | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Richard J Price | Diagnostic Radiology | Mercy Clinic Joplin LLC | 94 Main St, Cassville, MO 65625-1610 |
| Paul B Andelin | Family Medicine | Mercy Hospital Cassville | 94 Main St, Cassville, MO 65625-1610 |
| Rita Logan Seger | Internal Medicine | Mercy Clinic Springfield Communities | 92 Main St, Cassville, MO 65625-1610 |
| Find all physicians in zip 65625 | |||
| City | CASSVILLE |
| Zip Code | 65625 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CASSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Lucille Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.