Barbara D Black, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004617 Issued in NC

Practice address

114 Hollowell Rd
Aulander, NC 27805-9634

Phone

(252) 345-3791

Fax

(252) 345-0480

NPI assigned

Apr 23, 2008

Last updated

Feb 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Brier Creek Integrated Pain & Spine PLLC

  • Medical Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1538352760
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1437324316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CHARLOTTE PARK DR",
            "address_2": "SUITE 390",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171915",
            "telephone_number": "704-529-6161",
            "fax_number": "704-323-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HOLLOWELL RD",
            "city": "AULANDER",
            "state": "NC",
            "postal_code": "278059634",
            "telephone_number": "252-345-3791",
            "fax_number": "252-345-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BARBARA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17666",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A New Health Choice LLC
• Absolute Care Medical Transport Inc.
• Olivia Jeanine Ambrose, PARAMEDIC
• Aulander Medical Practice PA
• Aulander Pharmacy, Inc
• Clarence Burden
• Albert Dominique Cherry
• Vanderbill Cherry Jr.
• Cherry's Family Care
• Cherry's Family Care #3

• Family Nurse Practitioner in Aulander, NC
• Providers in Aulander, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.