Sharon Black, R.D.
Individual provider Active NPI Registered Dietitian · Greencastle, IN
NPI 1457534786 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1457534786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 410941
- Practice address
- 1542 S Bloomington St
Greencastle, IN 46135-2212 - Phone
- (765) 655-2641
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 410941 | Yes |
Addresses
Primary practice location
1542 S Bloomington St
Greencastle, IN 46135-2212
Mailing address
1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 655-2641
Other providers in Greencastle, IN
- Meladean Belleu
- Bridget Marie Bennett
- Milon Kirk Berry
- Bio-Medical Applications of Indiana, Inc.
- Brian Houston Black
- Thomas Houston Black III
- Boatright Inc.
- Erica Bodeker
- Bonzer Medical, LLC
- Brittany Ann Bowles
All providers in Greencastle, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.