Jennifer Leigh Black, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G166344 Issued in IA

Practice address

16000 Christensen Rd Ste 200
Tukwila, WA 98188-2925

Phone

(833) 719-0886

Fax

(702) 589-4872

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, TX, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.black.1@24259.direct.athenahealth.com
• Direct secure messaging: jenniferblack@shenmed.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  Medicare reassignment Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  • Clinic/Center
  • Kyle, SD
  • NPI 1003963497

  TX

  Medicare reassignment NPD
• Shenandoah Medical Center

  • Certified Registered Nurse Anesthetist
  • Shenandoah, IA
  • NPI 1497810972
  Medicare reassignment NPD
• Shenandoah Medical Center

  • Rural Health Clinic/Center
  • Shenandoah, IA
  • NPI 1427300201
  NPD
• Shenandoah Medical Center

  • Community/Retail Pharmacy
  • Shenandoah, IA
  • NPI 1447937230
  NPD
• Shenandoah Medical Center

  • Emergency Medicine Physician
  • Shenandoah, IA
  • NPI 1497810956
  NPD

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1710347943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925",
            "telephone_number": "702-483-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 CHRISTENSEN RD STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882925",
            "telephone_number": "833-719-0886",
            "fax_number": "702-589-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Argyle St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "IA",
            "postal_code": "516401503",
            "country_code": "US",
            "telephone_number": "712-246-7400",
            "fax_number": "712-246-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A149915",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "70003309-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bestenbostel
• Elizabeth Bieler, ED.D.
• Alison Bird
• Karen L Birmingham
• Erik Gustavo Birrueta
• Molly Renee Black
• Lael Blackmore
• Elinor R Blaney, LICSW CDP
• Joseph Michael Blasko
• Blue Wave Eye Doctors Professional Limited Liability Company

• Psychiatric/Mental Health Nurse Practitioner in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.