Individual provider Active NPI

Karen Renee Black, APN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1164867628
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014708 Issued in FL
Practice address
8810 SW 72ND CT # a-101
Miami, FL 33156-2983
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP200004896 DC
Family Nurse Practitioner 363LF0000X APRN11014708 FL Primary

Addresses

Primary practice location

8810 SW 72ND CT # a-101
Miami, FL 33156-2983

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone (202) 627-1901

Other practice location 2

8700 NW 36th Street, Suite 107
Doral, FL 33178
Phone (888) 663-6331

Other practice location 3

2984 Grand Ave
Miami, FL 33133
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013000695 FL Practitioner - Nurse Practitioner 3274774989 Reassigns benefits to 1 organization
I20240318002708 DC Practitioner - Nurse Practitioner 3274774989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Atlanta, GA 30384

PO Box
Pasadena, CA 91189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP200004896DCMDFamily Nurse Practitioner
APRN11014708FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc. Current Accepting new patients
University Health System, Inc Current Accepting new patients
University of Miami Past Accepting new patients

Locations

4410 Valley View Dr
Knoxville, TN 37917
Phone (865) 523-5235

4005 Fountain Valley Dr
Ste 350
Knoxville, TN 37918
Phone (865) 925-9020

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

11606 Chapman Hwy
Ste 4
Seymour, TN 37865
Phone (865) 305-8761

Interoperability endpoints

  • Direct secure messaging: karen.black@direct.utmck.edu

Organizations & group practices 4

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1164867628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 SW 72ND CT # A-101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562983",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361728",
            "country_code": "US",
            "telephone_number": "202-627-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 NW 36th Street, Suite 107",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "33178",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2984 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33133",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP200004896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.