SJ Black Enterprises Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A001200 Issued in AR

Legal business name

SJ BLACK ENTERPRISES INC.

Practice address

298 Jeffery LN
Cabot, AR 72023-8576

Phone

(501) 413-8498

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Sherry Black, NP

Title

President

Phone

(501) 413-8498

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1326400185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 JEFFERY LN",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 JEFFERY LN",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238576",
            "telephone_number": "501-413-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ BLACK ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-413-8498",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd A Shurley Jr., M.D.
• Siegfried,LLC
• April Simmons
• Asia Sims, LAC
• Taylor Sims, QBHP
• Amy Smith, OT
• Brittany Leigh Smith, COTA/L
• Julie Alice Smith
• Nancy E Smith, M.ED., BCBA
• Nicolet D. Smith, DDS

• Family Nurse Practitioner in Cabot, AR
• Providers in Cabot, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.