Individual provider Active NPI

Karen M Black, NP

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1740594357
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
89612 Issued in NC
Practice address
1200 N Elm St Ste 3509
Greensboro, NC 27401-1004
Phone
(336) 832-4380
Fax
(336) 832-4382
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 89612 NC Primary

Addresses

Primary practice location

1200 N Elm St Ste 3509
Greensboro, NC 27401-1004

Mailing address

1200 N Elm St Ste 3509
Greensboro, NC 27401-1004
Phone (336) 832-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000216 NC Practitioner - Nurse Practitioner 4183749112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
North Carolina Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elohim Housecall Doctors PAGroup PAC ID 0648550004, 5 clinicians
Authoracare CollectiveGroup PAC ID 3678558962, 11 clinicians

Practice addresses (Care Compare)

2500 Summit Ave
Greensboro, NC 27405-4522

2504 Summit Ave
Greensboro, NC 27405-4522
Phone (336) 621-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
89612NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Authoracare Collective Current Accepting new patients
Authoracare Collective CurrentSince Jan 1, 2025 Accepting new patients
Elohim Housecall Doctors Dba Authoracare House Calls CurrentSince Dec 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Nurse Practitioner Past Accepting new patients

Locations

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

Interoperability endpoints

  • Direct secure messaging: karen.black.1@14774.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1740594357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST STE 3509",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-4380",
            "fax_number": "336-832-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST STE 3509",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-4380",
            "fax_number": "336-832-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "89612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.