FREDA ANN BLACK NURSE PRACTITIONER
NPI 1740296516
Nurse Practitioner - Adult Health in South Bend, IN

Active since July 31, 2006
112 W JEFFERSON BLVD, SOUTH BEND, IN 46601(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Freda Ann Black Nurse Practitioner NPPES

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

FREDA ANN BLACK NURSE PRACTITIONER (NPI 1740296516) is an individual adult health provider in South Bend, Indiana, licensed in Indiana (71001497) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1740296516
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameFREDA ANN BLACKCredential: NURSE PRACTITIONER
Location Address112 W JEFFERSON BLVDSouth Bend, IN 46601-1923
Mailing Address112 W Jefferson BlvdSouth Bend, IN 46601-1923 · (574) 546-1900 · Fax (574) 546-1999
Fax(574) 546-1999
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 8, 2016
NPI 1740296516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in IN · 71001497 Licensed in IL · 209.005685
112 W JEFFERSON BLVD, South Bend, IN 46601

Other Identifiers 4

Other209.005685IL · Apn License Number
Other28104924AIN · Rn License Number
Other041.335636IL · Rn License Number
Other71001497AIN · Apn License Number

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
112 W JEFFERSON BLVD, SUITE 600
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601
Nurse Practitioner (Psychiatric/Mental Health)
112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601
Psychiatry & Neurology (Neurology)
112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601

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 Freda Black's NPI number?

The NPI number for Freda Black is 1740296516. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Freda Black located?

Freda Black practices at 112 W Jefferson Blvd, South Bend, IN 46601. The listed phone number is (574) 546-1900.

What is Freda Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Freda Black was last updated on September 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.