Active NPI
Lindsey Brooke Black, MS, AGACNP-BC
- Acute Care Nurse Practitioner
- Frederick, MD
National Provider Identifier
1225412224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R191068
- Practice address
- 400 W Seventh St
Frederick, MD 21701-4506 - Phone
- (240) 566-3300
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R191068 | MD | Primary |
Addresses
Primary practice location
400 W Seventh St
Frederick, MD 21701-4506
Mailing address
29 South Greene Street
Suite 504
Baltimore, MD 21201
Phone (410) 328-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R191068 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1225412224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 SOUTH GREENE STREET",
"address_2": "SUITE 504",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-6366",
"fax_number": "410-328-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W SEVENTH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "240-566-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "LINDSEY",
"middle_name": "BROOKE",
"credential": "MS, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R191068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.