MEGAN EILEEN BLACK (NPI# 1639623614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639623614 |
| Entity Type | Individual |
| Full Name | MEGAN EILEEN BLACK |
| Credential | N.P. |
| Practice Address |
8075 N Shadeland Ave Ste 200 Indianapolis IN 46250-2693 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176218500 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28191030A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1194290767 | Megan Louise Black | Physician Assistant | 466 W 800 S, Blanding, UT 84511-3901 | 2018-10-09 |
| 1801186226 | Megan E Black | Specialist/Technologist | 243 E 400 S, Salt Lake City, UT 84111-2838 | 2011-04-19 |
| 1407416258 | Megan Nicole Black | Speech-Language Pathologist | 644 Abington Dr Ne, Concord, NC 28025-2568 | 2019-06-14 |
| 1609340850 | Megan Marie Black | Behavior Technician | 17335 Pagonia Dr, Clermont, FL 34711-6011 | 2019-01-21 |
| 1275000382 | Megan Black | Social Worker | 101 N Pine St Ste 315, Spartanburg, SC 29302-1604 | 2018-10-26 |
| 1417439514 | Megan Kathleen Black | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2018-09-05 |
| 1558871293 | Megan Black | Occupational Therapist | 999 Old Eagle School Rd Ste 106, Wayne, PA 19087-1707 | 2017-10-09 |
| 1982056347 | Megan Lynne Black | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-07-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| Street Address |
8075 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882798 | Muhamad Adeeb Safiia | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-06-25 |
| 1316415136 | Grover Alexander Shelton IIi | Registered Nurse | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2018-11-09 |
| 1376050914 | Brenda Belden Clark | Pharmacist | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2018-01-04 |
| 1124534367 | Abigail Williamson | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2017-12-26 |
| 1538601174 | Ashley Ponsler | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2016-11-14 |
| 1871987974 | Melissa Meyer | Physician Assistant | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2015-03-26 |
| 1679861900 | Angela Cornelius | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2011-07-20 |
| 1649581190 | Heather Rae Willett | Physician Assistant | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2010-06-30 |
| 1053325050 | Sasikanth Adigopula | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MEGAN EILEEN 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.