Individual provider Active NPI

Kay Cherene Black, APRN-CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hot Springs, AR
National Provider Identifier
1114959012
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
CNS00140 Issued in NM
Practice address
200 Millbranch CT
Hot Springs, AR 71901-7243
Phone
(918) 530-7257
Fax
(855) 595-1072
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X CNS00140 NM
Addiction Psychiatry Physician 2084P0802X CNS00140 NM
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 33977 OK
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS00140 NM Primary

Addresses

Primary practice location

200 Millbranch CT
Hot Springs, AR 71901-7243

Mailing address

200 Millbranch CT
Hot Springs, AR 71901-7243
Phone (918) 530-7257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNS00140NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aprns to Go LLC CurrentSince Feb 14, 2021 Accepting new patients
Easy Screening, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cherene.black.1@26646.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1114959012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILLBRANCH CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017243",
            "telephone_number": "918-530-7257",
            "fax_number": "855-595-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILLBRANCH CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017243",
            "telephone_number": "918-530-7257",
            "fax_number": "855-595-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KAY",
        "middle_name": "CHERENE",
        "credential": "APRN-CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "CNS00140",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NM",
            "license": "CNS00140",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "33977",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "CNS00140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.