BRENDA LYNN BLACK (AT,C) – Athletic Trainer, NPI 1871681130

BRENDA LYNN BLACK (AT,C) is a healthcare provider. based in Mountlake terrace, Washington. specializing in Athletic Trainer. They hold the professional credentials AT,C. The NPI Number for BRENDA LYNN BLACK (AT,C) is 1871681130

Main info

Female
Sole Proprietor
Name
BRENDA LYNN BLACK (AT,C)
NPI
1871681130
Phone
(425) 697-2453
Address
24205 54TH AVE W
Enumeration Date
11 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BRENDA LYNN BLACK (AT,C)

  • 24205, 54th Avenue West, Mountlake Terrace, Snohomish County, Washington, 98043, United States

    MOUNTLAKE TERRACE, WA 980435515

    Phone: (425) 697-2453

    Fax: (425) 385-7002

    Type: Mailing

  • Henry M Jackson High School, 1508, 136th Street Southeast, Murphys Corner, Mill Creek, Snohomish County, Washington, 98012, United States

    MILL CREEK, WA 980125310

    Phone: (425) 385-7038

    Fax: (425) 385-7002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98043)

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Reviews

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Frequently asked questions

Can I verify BRENDA LYNN BLACK (AT,C) with an NPI only?
You can start verification with NPI 1871681130 for BRENDA LYNN BLACK (AT,C), then check state licensing separately.
Can I rely on BRENDA LYNN BLACK (AT,C) being an active provider?
As of the registry snapshot, BRENDA LYNN BLACK (AT,C) is marked active.
What is BRENDA LYNN BLACK (AT,C)'s primary classification?
Athletic Trainer is the headline specialty for BRENDA LYNN BLACK (AT,C) here. Clinical services aligned with this taxonomy classification.
Where should I expect BRENDA LYNN BLACK (AT,C) on a map?
Expect Mountlake Terrace, Washington as a primary anchor for BRENDA LYNN BLACK (AT,C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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