Mary Ann Black, RN

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

RN743762 Issued in FL

Practice address

1334 Dallas Ave
Winter Park, FL 32789-3641

Phone

(407) 647-5521

NPI assigned

Dec 20, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1356813984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 DALLAS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893641",
            "telephone_number": "407-647-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 DALLAS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893641",
            "telephone_number": "407-647-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "FL",
            "license": "RN743762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Lauren Birkebak
• Birkmire Behavioral Healthcare
• Rosally N Bisbal Moreno, PSYD
• Karina Isabel Bishop, M.D.
• Katelyn Barbara Bitetto Davis, APRN
• Michele Catherine Black, M.A.CCC-SLP
• Victoria Marie Black
• Cassidy Rose Blackton
• Kimberly Blakely, OT
• Gloria Clemencia Blakley, MA-CMHC-CABA

• Continuing Education/Staff Development Registered Nurse in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Continuing Education/Staff Development Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.