Alvisha Black
Individual provider Active NPI Midwife · Gallatin, TN
NPI 1720950355 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1720950355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 342 Drivers LN
Gallatin, TN 37066-5914 - Phone
- (615) 230-9748
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | Yes |
Addresses
Primary practice location
342 Drivers LN
Gallatin, TN 37066-5914
Mailing address
342 Drivers LN
Gallatin, TN 37066-5914
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.