TINA BLACK
NPI 1750853305
Licensed Practical Nurse in Rosedale, NY

Q: What is Tina Black's NPI number?

The NPI number for Tina Black is 1750853305. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Tina Black's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Black was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 20, 2018

24325 CANEY RD, ROSEDALE, NY 11422(347) 653-3465 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tina Black NPPES

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

TINA BLACK (NPI 1750853305) is an individual licensed practical nurse in Rosedale, New York, licensed in New York (304043-1) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1750853305

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTINA BLACK

Location Address24325 CANEY RDRosedale, NY 11422-2329

Mailing Address24325 Caney RdRosedale, NY 11422-2329

Phone(347) 653-3465

Sole ProprietorYes

Enumeration DateDecember 20, 2018

✔ NPI 1750853305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 304043-1

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

24325 CANEY RD, Rosedale, NY 11422

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Other Identifiers 1

Medicaid164WOOOOXNY

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 Tina Black's NPI number?

The NPI number for Tina Black is 1750853305. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Tina Black located?

Tina Black practices at 24325 Caney Rd, Rosedale, NY 11422. The listed phone number is (347) 653-3465.

What is Tina Black's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tina Black was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.