Active NPI
Chelsea Black
- Family Nurse Practitioner
- Richmond, TX
National Provider Identifier
1669960548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1153249
- Practice address
- 18003 Almond Place LN
Richmond, TX 77407-5080 - Phone
- (903) 520-1405
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 916569 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1153249 | TX | Primary |
Addresses
Primary practice location
18003 Almond Place LN
Richmond, TX 77407-5080
Mailing address
18003 Almond Place LN
Richmond, TX 77407-5080
Other practice location 1
14651 Philippine St Apt 2105
Houston, TX 77040-6986
Phone (903) 520-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916569 | TX | MD | Registered Nurse |
| 1153249 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1669960548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18003 ALMOND PLACE LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774075080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18003 ALMOND PLACE LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774075080",
"telephone_number": "903-520-1405"
}
],
"practiceLocations": [
{
"address_1": "14651 Philippine St Apt 2105",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770406986",
"country_code": "US",
"telephone_number": "903-520-1405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "916569",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1153249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.