Ira-Etta Marie Black, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN237736 Issued in OH

Practice address

2200 E 106TH St
Apt #4
Cleveland, OH 44106-4258

Phone

(216) 229-8882

NPI assigned

Sep 18, 2008

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

Other identifiers 1

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1669621256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 106TH ST",
            "address_2": "APT #4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064258",
            "telephone_number": "216-229-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 106TH ST",
            "address_2": "APT #4",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064258",
            "telephone_number": "216-229-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "IRA-ETTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN237736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631610",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darnesha Black
• Denise Sylvia Black, MD
• Diamond Marie Black
• Easton Alan Black, CAA
• Hannah Black, BSW
• James Black Jr., MD
• Jessica Laurel Black
• Kelly Marie Black, LISW
• Kelly Nicole Black, MSN, CRNA
• Kenzie Ellise Black, LSW

• Case Management Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.