Rebecca Elaine Black

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4722 Riverstone Blvd
Missouri City, TX 77459-4723

Phone

(346) 368-4412

NPI assigned

Jul 14, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pine Cone Therapies LLC

  • Behavior Analyst
  • Southlake, TX
  • NPI 1013143767
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1801414016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 RIVERSTONE BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594723",
            "telephone_number": "346-368-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 RIVERSTONE BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594723",
            "telephone_number": "346-368-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "REBECCA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bim Healthcare Services, Inc
• Bio-Medical Applications of Texas, Inc.
• Birklett Cares LLC
• BJ-Mar & Associates, LLC
• Elicia Black, ATC
• Ampika Blackburn
• Blackstar Logistics Transporation LLC
• Andrea Christina Bland
• Blessed Hands Home Health Care LLC
• Maria Block-Hansen

• All providers in Missouri City, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.