MRS. HOLLY HOOD BLACK (NPI# 1396719530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396719530 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY HOOD BLACK |
| Credential | NPP |
| Practice Address |
509 N Elam Ave 2nd Floor Greensboro NC 27403-1118 |
| Practice Telephone | 3362741114 |
| Practice Fax Number | 3362325326 |
| Mailing Telephone | 3362741114 |
| Mailing Fax Number | 3362325326 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 900420 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194941450 | Holly Bronson Black | Nurse Practitioner | 21715 Kingsland Blvd, Katy, TX 77450-2543 | 2007-04-17 |
| Street Address |
509 N ELAM AVE 2ND FLOOR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836297 | Angela Draughon Rickelton | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-01-25 |
| 1134736135 | Jennaya Lynn Davis | Nurse Practitioner | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2020-09-24 |
| 1518326743 | Larry Ryan Gibson | Nurse Practitioner | 509 N Elam Ave, 2nd Fl, Greensboro, NC 27403-1118 | 2016-02-16 |
| 1215340872 | Lachina Moore Hollis | Nurse Practitioner | 509 N Elam Ave, Suite 3e, Greensboro, NC 27403-1129 | 2014-06-10 |
| 1437468873 | Rachel Catherine Payne Jones | Nurse Anesthetist, Certified Registered | 509 N Elam Ave, Greensboro, NC 27403-1129 | 2010-10-04 |
| 1467627836 | Diane S Warden | Nurse Practitioner | 509 N Elam Ave, Fl 2, Greensboro, NC 27403-1129 | 2008-04-28 |
| 1306919592 | Valerie P Wilkerson | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-11-16 |
| 1427121623 | Christopher John Wilson | Registered Nurse | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-11-16 |
| 1073527065 | The Day Surgery Center of Greensboro, LLC | Clinic/Center | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-07-28 |
| 1346204088 | Alliance Urology Specialists Pa | Urology | 509 N Elam Ave, Fl 2, Greensboro, NC 27403-1157 | 2006-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789793 | Sarah Clegg Slack | Nurse Practitioner | 912 3rd St # 101, Greensboro, NC 27405-6967 | 2019-09-17 |
| 1881243558 | Kathryn Strup | Nurse Practitioner | 1317 N Elm St Ste 7, Greensboro, NC 27401-1023 | 2019-09-05 |
| 1174989792 | Elysa C. Graham | Nurse Practitioner | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 | 2016-01-12 |
| 1588033195 | Maria S. Gaddy | Nurse Practitioner | 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642-4541 | 2015-09-24 |
| 1689042038 | Caroline Tedder Hacker | Nurse Practitioner | 300 E Wendover Ave, Suite 400, Greensboro, NC 27401-1229 | 2015-09-02 |
| 1659700177 | Jerry Keith Edwards | Nurse Practitioner | 501 Hickory Branch Rd, Greensboro, NC 27409-9601 | 2013-11-05 |
| 1609185255 | Yolanda Mcclam Nicholson | Nurse Practitioner | 112 N Benbow Road, Greensboro, NC 27411-7299 | 2010-09-30 |
| 1740594357 | Karen M Black | Nurse Practitioner | 1200 N Elm St Ste 3509, Greensboro, NC 27401-1004 | 2010-08-06 |
| 1235397738 | Russell Lee Welch | Nurse Practitioner | 510 N.elam Ave, Ste 302, Greensboro, NC 27403 | 2008-05-30 |
| 1174614259 | Vrinda Villa Pickering | Nurse Practitioner | 1200 North Elm Street, Greensboro, NC 27401-1004 | 2006-09-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.