KATY A BLACK


Address: 211 E Main St, Carbondale, KS 66414-9607
Phone: 7858367111

KATY A BLACK (NPI# 1043608920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043608920
Entity Type Individual
Full Name KATY A BLACK
Credential APRN
Practice Address 211 E Main St
Carbondale
KS 66414-9607
Practice Telephone 7858367111
Practice Fax Number 7858369251
Mailing Telephone 7858367111
Mailing Fax Number 7858369251
Enumeration Date 2014-12-31
Last Update Date 2018-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 76631 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 201108160A 05
KS MEDICARE 068002294 01

Office Location

Street Address 211 E MAIN ST
City CARBONDALE
State KS
Zip Code 66414-9607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164477964 Gerald W Marcell Family Medicine 211 E Main St, Carbondale, KS 66414-9607 2006-05-23
1336566488 Brian Bondurant Family Medicine 211 E Main St, Carbondale, KS 66414-9607 2014-03-26
1295775922 David J Penn Family Medicine 211 E Main St, Carbondale, KS 66414-9607 2006-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235332628 Osage County Chiropractic, P.a. Chiropractor 119 Main St Box 329, Carbondale, KS 66414 2007-06-06
1790914190 Santa Fe Trail Usd 434 Local Education Agency (LEA) 1663 E Us Highway 56, Carbondale, KS 66414-9178 2009-07-07
1376871939 Sweet Country Homes, Inc. Assisted Living Facility 13450 S Topeka Ave, Carbondale, KS 66414-9301 2009-11-19
1982607479 Monte Keith Kuder Chiropractor 119 Main St, Carbondale, KS 66414-9628 2005-05-27
1487002028 Corey Devin Wells Chiropractor 119 Main St, Carbondale, KS 66414-9628 2016-05-24
1710363197 Kelli Robinson Physical Therapy Assistant 119 Main St, Carbondale, KS 66414-9628 2015-08-07
1639484744 Heather Lynn Kuder Physical Therapy Assistant 119 Main St, Carbondale, KS 66414-9628 2010-08-12
1265637813 Paula Ann Cobb Physical Therapist 119 Main St, Carbondale, KS 66414-9628 2007-06-15
1902289085 Alternative Solutions Respite Care 611 4th Street Ter, Carbondale, KS 66414-9663 2015-07-07
1598391484 Jourdan Nikole Prehn Nurse Practitioner 211 Main St, Carbondale, KS 66414-9714 2020-03-23
Find all providers in zip 66414

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285287888 Melissa Anne Fowler-coello Nurse Practitioner 305 W Jackson St Ste 100, Carbondale, IL 62901-1474 2019-07-23
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1093706780 Marie A Williams Nurse Practitioner 30-32 N Main St, Carbondale, PA 18407-2304 2005-11-02
1598391484 Jourdan Nikole Prehn Nurse Practitioner 211 Main St, Carbondale, KS 66414-9714 2020-03-23
1043846421 Lindsay B Casolari Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2020-03-18
1871123067 Hailee Elizabeth Bowlin Nurse Practitioner 405 W Jackson St, Carbondale, IL 62901-1462 2020-01-16
1770125817 Jill Martin Nurse Practitioner 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 2019-10-10
1194367318 Jessica Oakley Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2019-10-09
1427609775 Brandi Anderson Nurse Practitioner 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 2019-09-26
1184196883 Leslie Ann Hickman Nurse Practitioner 2601 W Main St, Carbondale, IL 62901-1031 2018-12-19
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 66414

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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