MRS. ANGELA LYNNE BLACK (NPI# 1457479859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457479859 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA LYNNE BLACK |
| Credential | C.P.N.P. |
| Practice Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Mailing Address |
2401 Gillham Rd Provider Enrollment Kansas City MO 64108-4619 |
| Practice Telephone | 8162343000 |
| Practice Fax Number | 8168551941 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
45952 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
148062 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1447507462 | Angela M Black | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2012-08-09 |
| 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 |
| 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 |
2401 GILLHAM RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093235368 | Sally Williams Ehrich | Nurse Practitioner | 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 | 2017-06-27 |
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1336177831 | Veda Michele Donner | Nurse Practitioner | 8781 N. Platte Purchase Dr., Kansas City, MO 64155 | 2006-06-30 |
| 1235170424 | Kathleen Elizabeth Jansen-kraly | Nurse Practitioner | 16 E 63rd St, Kansas City, MO 64113-1612 | 2006-06-09 |
| 1629015029 | Eileen Calabria | Nurse Practitioner | 3101 Broadway Blvd Fl 2, Kansas City, MO 64111-2659 | 2006-06-02 |
| 1811934854 | Lechelle Delea Williams | Nurse Practitioner | 2410 Gillham Rd, Kansas City, MO 64108-2667 | 2006-05-31 |
| 1881648178 | Pamela Irene Western | Nurse Practitioner | 4605 Paseo Blvd, Kansas City, MO 64110-1861 | 2006-05-20 |
| 1962478552 | Karen Bauman Nelson | Nurse Practitioner | Ku Oto Hns Ms 3010, 3901 Rainbow Blvd., Kansas City, KS 66160-0001 | 2006-02-24 |
| 1881202745 | Taryn Wisor | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-16 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on MRS. ANGELA LYNNE BLACK.
| 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.