AMY BLACK
NPI 1780239160
Nurse Practitioner - Gerontology in Chunchula, AL

Q: What is Amy Black's NPI number?

The NPI number for Amy Black is 1780239160. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Q: What is Amy Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amy Black was last updated on August 2, 2019. 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 August 02, 2019

10420 REVA RD N, CHUNCHULA, AL 36521(251) 490-5884 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amy Black NPPES

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

AMY BLACK (NPI 1780239160) is an individual gerontology provider in Chunchula, Alabama, licensed in Alabama (1-071140) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1780239160

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMY BLACK

Location Address10420 REVA RD NChunchula, AL 36521-3330

Mailing Address10420 Reva Rd NChunchula, AL 36521-3330 · (251) 490-5884

Phone(251) 490-5884

Sole ProprietorYes

Enumeration DateAugust 2, 2019

✔ NPI 1780239160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AL · 1-071140

10420 REVA RD N, Chunchula, AL 36521

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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 Amy Black's NPI number?

The NPI number for Amy Black is 1780239160. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Amy Black located?

Amy Black practices at 10420 Reva Rd N, Chunchula, AL 36521. The listed phone number is (251) 490-5884.

What is Amy Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Amy Black was last updated on August 2, 2019. 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.