KIMBERLY SUE BLACK


Address: 7150 Clearvista Dr, Indianapolis, IN 46256-1695
Phone: 3175095321

KIMBERLY SUE BLACK (NPI# 1174042634) 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) 1174042634
Entity Type Individual
Full Name KIMBERLY SUE BLACK
Credential RN
Practice Address 7150 Clearvista Dr
Indianapolis
IN 46256-1695
Practice Telephone 3175095321
Mailing Telephone 3176215017
Enumeration Date 2017-09-15
Last Update Date 2017-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
28097369A IN Nursing Service Providers

Other Providers KIMBERLY BLACK

NPI Name Taxonomy Address Enumeration
1063997237 Kimberly Rochelle Black Counselor 31 E Main Ave, Taylorsville, NC 28681-2540 2018-10-03
1962769919 Kimberly Black Speech-Language Pathologist 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 2012-04-16
1619484839 Kimberly Black Behavior Technician 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 2018-01-09
1255878989 Kimberly Lucille Black Nurse Practitioner 411 3rd St, Monett, MO 65708-2008 2017-01-19
1326415043 Kimberly Black Occupational Therapy Assistant 2403 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4033 2015-08-28
1821476235 Kimberly Black Marriage & Family Therapist 913 Willow St Ste 103, San Jose, CA 95125-2380 2015-05-18
1043613318 Kimberly Black Hearing Instrument Specialist 798 Downtowner Blvd, Ste A, Mobile, AL 36609-5424 2014-10-01
1518199728 Kimberly G Black Surgery 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 2009-08-20
1558522342 Kimberly Black Physical Therapist 212 W 3rd St Sw, Rome, GA 30165-2802 2008-06-24

Office Location

Street Address 7150 CLEARVISTA DR
City INDIANAPOLIS
State IN
Zip Code 46256-1695

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356349393 Kristi Moschel Registered Nurse 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2005-07-13
1013544881 Abigail Duncan Registered Nurse 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2020-03-23
1932668209 Jamie Lynn Newman Registered Nurse 7150 Clearvista Dr, Indianapolis, IN 46256-4699 2019-03-17
1235627282 Adam C. Cohen Plastic Surgery, LLC Plastic Surgery 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2018-04-25
1205342029 Kathryn Lee Carter Nurse Practitioner 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2017-12-15
1821514142 Danielle Thomas Pharmacist 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2017-08-17
1477073880 Amanda F Keafer Nurse Practitioner 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2017-06-27
1649719154 Kimberly Marie Moran Registered Nurse 7150 Clearvista Dr, Indianapolis, IN 46256 2017-02-16
1932647880 Brandon R Chambers Pharmacist 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2017-02-10
1114474970 Sungjoon Carlson Physician Assistant 7150 Clearvista Dr, Indianapolis, IN 46256-1695 2016-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790316859 Jacob R Weeks Behavior Technician 9769 Crosspointed Blvd, Fishers, IN 46256 2020-01-28
1780236620 Amare Hospice & Palliative Care Family Medicine 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 2019-07-11
1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1447732557 Kathleen O'hara Marriage & Family Therapist 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 2018-09-05
1205313608 Healing Bridges Counseling, LLC Marriage & Family Therapist 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 2018-07-27
1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
1275074239 Jason Dempsey Hearing Instrument Specialist 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 2017-03-10
1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1184160608 Sarah Ann Battista Registered Nurse 1250 N State Ave, Indianapolis, IN 46201-1162 2017-01-07
1457605511 Cynthia Denise Nanavaty Registered Nurse 6525 E 82nd St Ste 210-j, Indianapolis, IN 46250-1545 2012-10-28
1386813251 Chad S Priest Registered Nurse 300 N Meridian St, Suite 2700, Indianapolis, IN 46204-1755 2008-02-26
1891292686 Ruth Brandenburg Registered Nurse 2505 N Arlington Ave, Indianapolis, IN 46218 2018-04-09
1285135673 Carley Glaser Registered Nurse 720 Eskenazi Ave, Indianapolis, IN 46202-5187 2018-02-22
1164940177 Ariane Nicole Castillo Registered Nurse 7440 Woodland Dr, Indianapolis, IN 46278-1720 2017-08-30
1689842296 Zetra Elaine Allen Registered Nurse 3838 N Rural St, Indianapolis, IN 46205-2930 2008-02-16
1164433470 Kristin Hammoud Registered Nurse 1481 W 10th St, Indianapolis, IN 46202-2803 2006-08-11

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1730786005 Jennifer Goettemoeller Registered Nurse 748 Walkabout Cir N Apt 2c, Carmel, IN 46032-5696 2020-10-08
1649827809 Lauren Marie Ema Registered Nurse 731 77th Ave, Dyer, IN 46311-2305 2019-08-22
1083110373 Fyi Healthcare, LLC Registered Nurse 12000 Highway 41 North, Evansville, IN 47715 2018-04-04
1508394792 Amanda Diane Anderson Registered Nurse 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 2017-06-01
1881035632 Michelle Funk Registered Nurse 913 S Westhill Ct, Bloomington, IN 47403-2119 2013-07-09
1770855835 Jeanine Marie Kuna Registered Nurse 320 S Saint Joseph St, Suite 300, South Bend, IN 46601-2308 2012-02-06
1497994024 Vicki Jo Hazlewood Registered Nurse 4315 S 950 E, Lafayette, IN 47905-9447 2009-02-04
1518125418 Wecare Extended Medical Services LLC Registered Nurse 8206 Salem Church Rd, Charlestown, IN 47111-9262 2008-05-28
1972104461 Jennifer Pelley Registered Nurse 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 2020-11-03
1154934321 Lauren Glenn Registered Nurse 2423 N National Rd, Columbus, IN 47201-3733 2020-08-28
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Competitor

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City INDIANAPOLIS
Zip Code 46256

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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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