Heather Lea Black, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314981 Issued in NY

Practice address

13 Truman CT
Middletown, NY 10940-4512

Phone

(845) 699-2992

NPI assigned

Jul 31, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1871925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TRUMAN CT",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404512",
            "telephone_number": "845-699-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 TRUMAN CT",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404512",
            "telephone_number": "845-699-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HEATHER",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Bihun, RD, CDE
• Susan Billard, MS,CCC-SLP
• Tia Billingsley, PHARMD
• Sandra Binkowski, FNP
• David Birmingham, LMHC
• Joy Lynette Black, M.D.
• Julie J Black, FNP
• Elisha Blain
• Joshua James Blair, PA-C
• Nicole Blair, MD

• Licensed Practical Nurse in Middletown, NY
• Providers in Middletown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.