ANGELA M BLACK (NPI# 1447507462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447507462 |
| Entity Type | Individual |
| Full Name | ANGELA M BLACK |
| Credential | C.N.P. |
| Practice Address |
2671 Ne 46th St Seattle WA 98105 |
| Mailing Address |
2671 Ne 46th St Seattle WA 98105-5041 |
| Practice Telephone | 2065258000 |
| Practice Fax Number | 2065258070 |
| Mailing Telephone | 2065258000 |
| Mailing Fax Number | 2065258070 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60909585 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 201506660NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | COA.13918-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 335437 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NORTH BEND MEDICAL CENTER GROUP MEDICARE | R0000WFBTV | 01 |
| OR | NORTH BEND MEDICAL CENTER GROUP MEDICAID | 161133 | 01 |
| OR | 500691918 | 05 | |
| OR | NORTH BEND MEDICAL CENTER GROUP NPI | 1407812365 | 01 |
| OR | NORTH BEND MEDICAL CENTER GROUP TAX ID | 93-0635514 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Woodland Dr, Coos Bay, OR 974202045 | 5412675151 | 5412664565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292583 | Angela D Black | Registered Nurse | 24060 Fm 15, Troup, TX 75789-5510 | 2020-07-08 |
| 1851672281 | Angela Margaret Black | Massage Therapist | 9222 James Way, Panama City, FL 32404-5673 | 2011-08-30 |
| 1245782317 | Angela Black | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2016-10-25 |
| 1144500711 | Angela Black | Counselor | 2130 E 4th St, Santa Ana, CA 92705-3818 | 2011-08-26 |
| 1437394467 | Angela Black | Dentist | 1810 E Highland Dr, Jonesboro, AR 72401-6117 | 2008-12-04 |
| 1275793358 | Angela Prevatt Black | Otolaryngology | 807 Childrens Way, Nemours Childrens Clinic, Jacksonville, FL 32207-8426 | 2008-06-12 |
| 1457479859 | Angela Lynne Black | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-03-26 |
| 1972671733 | Angela Pilcher Black | Pediatrics | 601b Leah Ave, Suite B, San Marcos, TX 78666-7849 | 2006-12-01 |
| 1710063110 | Angela Marie Black | Physician Assistant | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2006-10-27 |
| 1780773622 | Angela Kay Black | Physical Therapist | 1019 Bayou St, Vincennes, IN 47591-2731 | 2006-10-11 |
| Street Address |
2671 NE 46TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291317 | Michael S Dudas | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2005-08-09 |
| 1437632072 | Kate Kapner | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2018-09-10 |
| 1487186177 | Victoria Black Horse | Internal Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2017-03-31 |
| 1689120271 | Alyssa Erickson-wayman | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2016-09-01 |
| 1811308893 | Marnonette J Marallag | Family Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-05-13 |
| 1023436060 | Elizabeth Cochrane | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-04-05 |
| 1578902094 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 2671 Ne 46th St, Seattle, WA 98105 | 2013-06-18 |
| 1457797961 | Amanda Sarah Freed | Internal Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2013-05-13 |
| 1447519681 | Heather Christine Gupta | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2012-05-09 |
| 1467745331 | Alejandro Jose Candelario | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871007 | Holly Jean Irvin | Nurse Practitioner | 701 5th Ave N Unit 323, Seattle, WA 98109-5100 | 2020-08-10 |
| 1164080602 | Abigail Bracken | Nurse Practitioner | 2713 S Elmwood Pl, Seattle, WA 98144-3131 | 2019-05-30 |
| 1447813589 | Maria Elena Ovalles Van Gaver | Nurse Practitioner | 1604 14th Ave, Seattle, WA 98122-4026 | 2019-04-15 |
| 1043788292 | Zechariah T Thiry | Nurse Practitioner | 1600 2nd Ave Apt 811, Seattle, WA 98101-3278 | 2018-11-06 |
| 1124503974 | Katrina Korreckt | Nurse Practitioner | 135 Nw 76th St, Seattle, WA 98117-3016 | 2018-09-27 |
| 1275011470 | Amber Lynn Hawkins | Nurse Practitioner | 11531 Bartlett Ave Ne, Seattle, WA 98125-5832 | 2018-07-31 |
| 1346748985 | Thu Van Nguyen | Nurse Practitioner | 317 Ne Thornton Pl Ste 10a, Seattle, WA 98125-8020 | 2018-01-29 |
| 1356860886 | Taylor Donovan | Nurse Practitioner | 509 Olive Way Ste 752, Seattle, WA 98101-3171 | 2017-09-15 |
| 1215454574 | Shannon Duffy | Nurse Practitioner | 12704 76th Ave S, Seattle, WA 98178-4811 | 2017-08-28 |
| 1215458674 | Melissa Mary Fessel | Nurse Practitioner | 601 Broadway Ste 600, Seattle, WA 98122-5330 | 2017-07-06 |
| Find all providers in SEATTLE | ||||
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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.