SIERRA AUTUMN BLACK M.A. NPI 1043377294

NPI Information

NPI: 1043377294
Provider Name: SIERRA AUTUMN BLACK, M.A.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3800 COOLIDGE AVE
OAKLAND, CA
ZIP 94602
Phone: (510) 773-4700
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Sierra Autumn Black, M.A. is a student in an organized health care education training program in Oakland, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sierra Autumn Black, M.A. NPI is 1043377294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3800 COOLIDGE AVE
OAKLAND, CA
ZIP 94602-311
Phone: (510) 773-4700
Fax: (510) 530-2047

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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