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LATISHA ANNETTE BLACK CDPT, BAS
NPI 1427615905
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since May 21, 2019
1111 FAWCETT AVE STE 200, TACOMA, WA 98402(253) 274-0484 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latisha Annette Black Cdpt, Bas NPPES

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

LATISHA ANNETTE BLACK CDPT, BAS (NPI 1427615905) is an individual student in an organized health care education/training program in Tacoma, Washington, licensed in Washington (C060492588) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1427615905
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLATISHA ANNETTE BLACKCredential: CDPT, BAS
Location Address1111 FAWCETT AVE STE 200Tacoma, WA 98402-2029
Mailing Address1111 Fawcett Ave Ste 200Tacoma, WA 98402-2029 · (253) 274-0484
Phone(253) 274-0484
Sole ProprietorNo
Enumeration DateMay 21, 2019
✔ NPI 1427615905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · C060492588
Definition
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.
1111 FAWCETT AVE STE 200, Tacoma, WA 98402
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Other Providers at the Same Location NPPES 2

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

PIONEER HUMAN SERVICES
Community/Behavioral Health
1111 FAWCETT AVE STE 200
TACOMA, WA 98402
Pierce County (253) 274-0484
PATRICK STEPHAN BAKER BS, CDPT
Student in an Organized Health Care Education/Training Program
1111 FAWCETT AVE STE 200
TACOMA, WA 98402
Pierce County (253) 274-0484

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 Latisha Black's NPI number?

The NPI number for Latisha Black is 1427615905. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Latisha Black located?

Latisha Black practices at 1111 Fawcett Ave Ste 200, Tacoma, WA 98402. The listed phone number is (253) 274-0484.

What is Latisha Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Latisha Black was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.