Jeanne Marie Black

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0017000296 Issued in VA

Practice address

7151 Richmond Rd
Suite 401
Williamsburg, VA 23188-7234

Phone

(757) 565-1700

Fax

(757) 565-6068

NPI assigned

Apr 15, 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

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jeanne.black.1@19335.direct.athenahealth.com

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1194041053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "TOANO",
            "state": "VA",
            "postal_code": "231680801",
            "telephone_number": "757-565-1700",
            "fax_number": "757-565-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 RICHMOND RD",
            "address_2": "SUITE 401",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887234",
            "telephone_number": "757-565-1700",
            "fax_number": "757-565-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0017000296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda J Birney, R.PH.
• Sarah W Bisconer, PH.D., LPC
• Jessica G Bissinger, MS, ATC
• BJH MD PLLC
• BKD Personal Assistance Services LLC
• Audrey Claire Blackburn
• Jeffrey G Blanchard, MD
• Theodore A. Blaney, D. M. D.
• John Roy Blanton, LPN
• Blessing Healthcare Services LLC

• Primary Care Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.