Heather Black, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5013805 Issued in NC

Practice address

201 Lumberton Ave
Carolina Beach, NC 28428-4846

Phone

(910) 543-3558

Fax

(910) 400-2095

NPI assigned

Oct 28, 2020

Last updated

Jul 22, 2026By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Savannah Rose Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Carolina Beach, NC
  • NPI 1093661795
  Medicare reassignment NPD Authorized official
• Coastal Horizons Center Inc

  • Community/Behavioral Health Agency
  • Rocky Point, NC
  • NPI 1063082592
  NPD
• Coastal Horizons Center, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1790985448
  NPD
• Coastal Horizons Center, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1922022607
  NPD
• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665
  NPD
• Inpatient Consultants of North Carolina, PC

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1669422846

  Nurse Practitioner

  NPD
• Inpatient Consultants of North Carolina, PC

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1790173680

  Nurse Practitioner

  NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958
  NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749
  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1447850458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LUMBERTON AVE",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284846",
            "telephone_number": "910-543-3558",
            "fax_number": "910-400-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LUMBERTON AVE",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284846",
            "telephone_number": "910-543-3558",
            "fax_number": "910-400-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Medl Bates
• Kayse Fields Beasley, MS, CCC-SLP
• Nicole Lee Becken, PT
• Haley Belcher, FNP
• Benchmark Physical Therapy of NC, LLC
• Halyn Blackburn, FNP-C
• Brandon Kent Farrell DDS PA II
• Damian Brezinski, MD
• Paula Conaway Bruner, PA
• Robert A Bucciere, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.