Natashi Black

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20181045451 Issued in NV

Practice address

6571 Clear Peak CT
Las Vegas, NV 89156-3720

Phone

(702) 612-2839

NPI assigned

Feb 16, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Up Youth & Family LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1891203352
  NPD Authorized official

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1740780782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6571 CLEAR PEAK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563720",
            "telephone_number": "702-612-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6571 CLEAR PEAK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563720",
            "telephone_number": "702-612-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "NATASHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20181045451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Black, CNIM
• Kline C Black, D.M.D.
• Latonya Black
• Michele Renee Black
• Morgan Black, RBT
• Nicholas G Black
• Pamela Black
• Patrick Mical Black, PHARMD
• Primavera Black
• Rickie Black

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.