Active NPI
Denice Black, MSN, APRN, ACNS-BC
- Adult Health Clinical Nurse Specialist
- Cleburne, TX
National Provider Identifier
1306403340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 565077
- Practice address
- 201 Walls Dr
Cleburne, TX 76033-4007 - Phone
- (817) 556-5541
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 565077 | TX | Primary |
Addresses
Primary practice location
201 Walls Dr
Cleburne, TX 76033-4007
Mailing address
201 Walls Dr
Cleburne, TX 76033-4007
Phone (817) 556-5541
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deniceblack@texashealth.org | Direct |
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565077 | TX | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1306403340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 WALLS DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334007",
"telephone_number": "817-556-5541",
"fax_number": "817-556-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WALLS DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334007",
"telephone_number": "817-556-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "DENICE",
"credential": "MSN, APRN, ACNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "565077",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deniceblack@texashealth.org",
"affiliation": "N",
"endpointDescription": "Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "address",
"address_1": "201 Walls Dr",
"city": "Cleburne",
"state": "TX",
"country_code": "US",
"postal_code": "760334007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.