HOLLY BRONSON BLACK (NPI# 1194941450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194941450 |
| Entity Type | Individual |
| Full Name | HOLLY BRONSON BLACK |
| Credential | CPNP |
| Practice Address |
21715 Kingsland Blvd Katy TX 77450-2543 |
| Mailing Address |
5710 Dusty Heath Ct Katy TX 77450-3520 |
| Practice Telephone | 2813987353 |
| Mailing Telephone | 2815990590 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
628292 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719530 | Holly Hood Black | Nurse Practitioner | 509 N Elam Ave, 2nd Floor, Greensboro, NC 27403-1118 | 2006-02-15 |
| Street Address |
21715 KINGSLAND BLVD |
| City | KATY |
| State | TX |
| Zip Code | 77450-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651899 | Mary Sue Harrison | Audiologist-Hearing Aid Fitter | 21715 Kingsland Blvd, Suite 105, Katy, TX 77450-2514 | 2005-06-30 |
| 1407109663 | Selah Medi Spa and Rejuvination Center | Specialist | 21715 Kingsland Blvd, Ste 100, Katy, TX 77450-2543 | 2012-10-24 |
| 1659661551 | Punita Kashyap Sunder | Pediatrics | 21715 Kingsland Blvd, Suite 103, Katy, TX 77450-2543 | 2011-04-12 |
| 1629392428 | Today's Hearing Inc. | Audiologist | 21715 Kingsland Blvd, 105, Katy, TX 77450 | 2010-03-23 |
| 1609031491 | Dalia Lucia Batista | Pediatrics | 21715 Kingsland Blvd, 103, Katy, TX 77450-2543 | 2008-07-22 |
| 1689837056 | Everyone's Foot Specialist, P.a. | Podiatrist | 21715 Kingsland Blvd, Suite 102, Katy, TX 77450-2543 | 2008-07-07 |
| 1336351386 | Tch Pediatric Associates, Inc. | Pediatrics | 21715 Kingsland Blvd, Suite # 103, Katy, TX 77450-2543 | 2007-05-03 |
| 1861604811 | Breath of Life Research Institute Inc. | Clinic/Center | 21715 Kingsland Blvd, Suite # 103, Katy, TX 77450-2543 | 2007-05-03 |
| 1497805782 | Aracely Palomares Neeley | Social Worker | 21715 Kingsland Blvd, Suite 101, Katy, TX 77450-2543 | 2007-01-11 |
| 1245306463 | Garrett Andrew Bethke | Dentist | 21715 Kingsland Blvd, Suite 105, Katy, TX 77450-2543 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295991636 | Jennifer Renee Lee | Nurse Practitioner | 705 S Fry Rd Ste 320, Katy, TX 77450-2254 | 2008-08-05 |
| 1467643007 | Heather Lea Journeycake | Nurse Practitioner | 9727 Spring Green Blvd Ste 900, Katy, TX 77494-4576 | 2007-08-08 |
| 1134531122 | Kristin Fullen | Nurse Practitioner | 777 S Fry Rd, Katy, TX 77450-2244 | 2014-05-23 |
| 1508031600 | Helen P Mccloy | Nurse Practitioner | 3030 S Mason Rd, Katy, TX 77450-7633 | 2008-04-29 |
| 1053407536 | Tami Lynn Pogue | Nurse Practitioner | 705 S. Fry Rd, Suite 320, Katy, TX 77450 | 2006-10-04 |
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|---|---|---|---|---|
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| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
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| 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.