Individual provider Active NPI

Lindsay S Black, ARNP

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1992158182
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9393187 Issued in FL
Practice address
1141 SE Indian St Ste 101
Stuart, FL 34997-5764
Phone
(772) 221-7789
Fax
(772) 597-0063
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9393187 FL Primary

Addresses

Primary practice location

1141 SE Indian St Ste 101
Stuart, FL 34997-5764

Mailing address

1094 Military TRL
Jupiter, FL 33458-7021
Phone (772) 597-0061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190503000768 FL Practitioner - Nurse Practitioner 6406198829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9393187FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B Weisberg PA CurrentSince Aug 19, 2019 Accepting new patients

Locations

1141 SE Indian St
Stuart, FL 34997
Phone (772) 221-7789

1141 SE Indian St
Ste 101
Stuart, FL 34997
Phone (772) 221-7789

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1992158182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "772-597-0061",
            "fax_number": "772-597-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SE INDIAN ST STE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975764",
            "telephone_number": "772-221-7789",
            "fax_number": "772-597-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LINDSAY",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9393187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.