DEATRICE LAVONNA BLACK LPN
NPI 1215448352
Licensed Vocational Nurse in Joliet, IL

Q: What is Deatrice Black's NPI number?

The NPI number for Deatrice Black is 1215448352. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Q: What is Deatrice Black's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Deatrice Black was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2017

503 BELLARMINE DR E APT 7, JOLIET, IL 60436(815) 456-9757 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deatrice Lavonna Black Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEATRICE LAVONNA BLACK LPN (NPI 1215448352) is an individual licensed vocational nurse in Joliet, Illinois, licensed in Illinois (043117036) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1215448352

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameDEATRICE LAVONNA BLACKCredential: LPN

Location Address503 BELLARMINE DR E APT 7Joliet, IL 60436-1838

Mailing Address503 Bellarmine Dr E Apt 7Joliet, IL 60436-1838 · (815) 456-9757

Phone(815) 456-9757

Sole ProprietorNo

Enumeration DateOctober 16, 2017

✔ NPI 1215448352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in IL · 043117036

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 043117036 (IL)

503 BELLARMINE DR E APT 7, Joliet, IL 60436

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deatrice Black's NPI number?

The NPI number for Deatrice Black is 1215448352. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Deatrice Black located?

Deatrice Black practices at 503 Bellarmine Dr E Apt 7, Joliet, IL 60436. The listed phone number is (815) 456-9757.

What is Deatrice Black's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Deatrice Black was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.