Sharon Sue Black, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA 11794 Issued in OH

Practice address

777 W State St
Suite 201 Lower Lights Christian Health Center
Columbus, OH 43222-1536

Phone

(614) 274-1455

Fax

(614) 274-2040

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1053620096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SR 256",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688030",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W STATE ST",
            "address_2": "SUITE 201 LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221536",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SHARON",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 11794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblack153969@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "sblack153969@direct.trinity-health.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2300 SR 256",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430688030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblack153969@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "sblack153969@direct.trinity-health.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2300 SR 256",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430688030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen D Black
• Nicole M Black
• Paige D Black
• Samantha Black, PSY.D.
• Sandra Black, 376J00000X
• Sylvester Michael Black, MD
• Taiesha Raquel Black
• Tracee Black
• Walker Patrick Black
• William Robert Black, PHD

• Adult Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.