CASSIDY ANN BLACK (NPI# 1619459617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619459617 |
| Entity Type | Individual |
| Full Name | CASSIDY ANN BLACK |
| Credential | CRNP |
| Practice Address |
1600 7th Ave S Ste 102 Birmingham AL 35233-1711 |
| Mailing Address |
5202 Colony Park Dr Birmingham AL 35243-3323 |
| Practice Telephone | 2056389387 |
| Practice Fax Number | 2059756505 |
| Mailing Telephone | 2565313788 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
1-148561 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 7TH AVE S STE 102 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063702454 | Madhura Adiga Hallman | Pediatrics | 1600 7th Ave S Ste 102, Birmingham, AL 35233 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831603588 | Polly Borasino | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-11-16 |
| 1962929919 | Jonathon Hudson | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2017-08-29 |
| 1730548660 | Tracy Allison Threet | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2016-02-20 |
| 1174955892 | Kristen C Waddell | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-08-05 |
| 1154762714 | Lauren Holmes Hunter | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-11 |
| 1811337272 | Phillip Russ Weaver | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2013-07-01 |
| 1295070134 | Natalie Leanne Scott | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-12-04 |
| 1518202597 | James Clayton Childress | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2012-12-03 |
| 1366787343 | Kristen Paige Howell | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-12-03 |
| 1003160177 | Carly Rae Turner | Nurse Practitioner | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2012-10-29 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
Please comment or provide details below to improve the information on CASSIDY ANN 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.