Ann Rae Black, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

18686 Issued in RI

Practice address

175 Elm St
New Bedford, MA 02740-6006

Phone

(508) 994-0217

Fax

(508) 994-5489

NPI assigned

Aug 3, 2006

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548278864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DWIGHT ST",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642408",
            "telephone_number": "508-994-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ELM ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027406006",
            "telephone_number": "508-994-0217",
            "fax_number": "508-994-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ANN",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "RI",
            "license": "18686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Biros, MA
• Matthew Bisso
• Jeanne W Bissonnette, MSW
• Azzam Bittar, MD
• Sarah Bjornson
• Sara E Black, MSW
• Alex Donald Blackburn
• Kandace Blake, MA, CCC-SLP
• Jessica Blakeley, OTR/L
• Conor Bliss

• Administrator Registered Nurse in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Administrator Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.