Black Nurses Rock San Antonio Chapter

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

BLACK NURSES ROCK SAN ANTONIO CHAPTER

Practice address

9014 Summit LK
San Antonio, TX 78245-1843

Phone

(830) 480-3616

NPI assigned

Oct 17, 2016

Organization subpart

Yes

Parent organization

BLACK NURSES ROCKAs reported in NPPES

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

Authorized official

Name

Mrs. Charlotte Davis, LPN

Title

Ceo /President

Phone

(830) 480-3616

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1548711310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 SUMMIT LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451843",
            "telephone_number": "830-480-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 SUMMIT LK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451843",
            "telephone_number": "830-480-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK NURSES ROCK SAN ANTONIO CHAPTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK NURSES ROCK",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO /PRESIDENT",
        "authorized_official_telephone_number": "830-480-3616",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lee Bizzle, PT
• Jessica Anne Bjerk, ACNP-BC
• BK Med Trans LLC
• Black Diamond Med Spa
• Black Dog Home Care, LLC (Right at Home San Antonio)
• Black-Pearl Medical LLC
• Christa M Black, PA-C
• Deborah Maye Black
• Joseph Black
• Katelynn Nicole Black, RBT

• Licensed Practical Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.