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REBECCA BLACK
NPI 1366293813
Military Health Care Provider in Tacoma, WA

Active since April 01, 2024
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA BLACK (NPI 1366293813) is an individual military health care provider provider in Tacoma, Washington and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1366293813
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameREBECCA BLACK
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250
Phone(253) 968-1250
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1366293813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

9040 JACKSON AVE, Tacoma, WA 98431
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTAL CELESTE MELVIN CRNP
Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (804) 519-0462
MR. JOHN RICHARD PORTER PA-C
Physician Assistant
9040 JACKSON AVE, MAMC FAMILY MED DEPT
TACOMA, WA 98431
Pierce County (253) 968-0770
LORRAINE DENISE MASSE FNP
Nurse Practitioner (Family)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0770
ANN PEPPERS ARNP
Nurse Practitioner (Neonatal)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2252
JOSPEH W GLENN NP-C
Nurse Practitioner (Adult Health)
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA 98431
Pierce County (785) 239-7582
EVAN BRAGIN
Registered Nurse (Psychiatric/Mental Health, Adult)
9040 JACKSON AVE, MCHJ-CLQ-C
TACOMA, WA 98431
Pierce County (253) 968-3564
ANDREA LYNN ZUNIGA LMHC
Counselor (Mental Health)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-4545
ALBERT ALLAN DIXON MD
Specialist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Black's NPI number?

The NPI number for Rebecca Black is 1366293813. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Rebecca Black located?

Rebecca Black practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1250.

What is Rebecca Black's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Rebecca Black was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.