Marilyn Sue Black

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400421721004STNA Issued in OH

Practice address

81A Rhoads Center Dr
Centerville, OH 45458

Phone

(800) 538-4218

Fax

(937) 435-0980

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275662983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 DOVER AVE",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453562724",
            "telephone_number": "937-615-9496",
            "fax_number": "937-615-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81A RHOADS CENTER DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "800-538-4218",
            "fax_number": "937-435-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MARILYN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400421721004STNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESTAR",
            "identifier": "2604962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda K Bilunka, LPCC
• Darlene S Bisgaard, CNP
• Tiara Bishop
• Michelle L Bizzarro, CNP
• Bryan Black, BC-HIS, A.C.A.
• Sandra Kleiser Black
• Black's Hearing Aid Services, Inc. (Beltone)
• Sara Ruth Blacklidge, PC
• Danielle Loury Blankenship, DPT
• Kody Lane Blankenship

• Nurse's Aide in Centerville, OH
• Providers in Centerville, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.