Individual
FREDA ANN BLACK
Active
Individual
FREDA ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.005685
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
71001497
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.335636
RN LICENSE NUMBER
IL
01
—
209.005685
APN LICENSE NUMBER
IL
01
—
28104924A
RN LICENSE NUMBER
IN
01
—
71001497A
APN LICENSE NUMBER
IN
Enumeration date
07/31/2006
Last updated
09/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up