IndividualActive
Jeanette Black
NPI 1174668875 · Case Management Agency · Gold Beach, OR
Jeanette Black is a Case Management Agency provider in Gold Beach, OR (NPI 1174668875).
Provider details
- NPI number
- 1174668875
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29413 Russell St
Gold Beach, OR 97444-7748
Phone: (541) 247-6566
Fax: (541) 247-6549
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Jeanette Black's NPI number?
- Jeanette Black's National Provider Identifier (NPI) is 1174668875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeanette Black's specialty?
- Jeanette Black is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).
- Where is Jeanette Black located?
- Jeanette Black's practice location on file with NPPES is 29413 Russell St, Gold Beach, OR 97444-7748.
- What is Jeanette Black's phone number?
- The practice phone number listed in the NPPES registry for Jeanette Black is (541) 247-6566.
- Is Jeanette Black's NPI active?
- Yes — Jeanette Black's NPI (1174668875) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.