NANCILEE BLACK (NPI# 1609043595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609043595 |
| Entity Type | Individual |
| Full Name | NANCILEE BLACK |
| Credential | ARNP |
| Practice Address |
11042 63rd Ave Seminole FL 33772-6879 |
| Practice Telephone | 7273198447 |
| Mailing Telephone | 7273198447 |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
ARNP1030102 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11042 63RD AVE |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265860142 | Kristen Fotopoulos | Nurse Practitioner | 12303 Marblehead Dr, Tampa, FL 33626-2509 | 2013-10-31 |
| 1275883100 | Melissa Kay Lopez | Nurse Practitioner | 501 6th Ave N Dept 6220, St Petersburg, FL 33701-2307 | 2012-09-18 |
| 1871886788 | Joji Ang | Nurse Practitioner | 17928 Sw 33rd Ct, Miramar, FL 33029-1636 | 2011-05-25 |
| 1245490168 | Sherie Collins | Nurse Practitioner | 1030 Bella Vista Dr Ne, St Petersburg, FL 33702 | 2008-06-13 |
| 1609043561 | Paula M Timoney | Nurse Practitioner | 676 Apalachee Cir Ne, St Petersburg, FL 33702-2722 | 2008-05-09 |
| 1235281841 | Jocquelin V. Jones | Nurse Practitioner | 9676 Sw Glenbrook Dr, Port St Lucie, FL 34987-2405 | 2007-01-17 |
| 1811941305 | Julie Etta Holmer | Nurse Practitioner | 1300 Sawgrass Corporate Pkwy, Suite 200, Sunrise, FL 33323-2826 | 2006-05-20 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1992326086 | Amber Renee Daigle | Nurse Practitioner | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2020-04-30 |
| 1144879826 | Raicheton Chevette Le | Nurse Practitioner | 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5402 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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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.