Patricia Black, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

443214-1 Issued in NY

Practice address

7362 Campus Heights Rd
Houghton, NY 14744-8719

Phone

(585) 978-2321

NPI assigned

Aug 16, 2019

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1649826306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 CAMPUS HEIGHTS RD",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448719",
            "telephone_number": "585-978-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 CAMPUS HEIGHTS RD",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448719",
            "telephone_number": "585-978-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "443214-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolut Center for Nursing and Rehabilitation at Houghton, LLC
• David Brubaker, MD
• Calvin L Schierer DO PC (Northern Allegany Medical Group)
• Daniel Chapman, MS, ATC, LAT
• Martin Chocholik, DMD
• College Park Healthcare Center (The Waters of Houghton)

• Registered Nurse in Houghton, NY
• Providers in Houghton, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.