LAKITTA SHUNTEL BLACK
NPI 1780314286
Specialist in Olive Branch, MS

Active since June 16, 2022
7721 HACKS CROSS RD STE 114, OLIVE BRANCH, MS 38654(901) 461-2756(662) 796-6432 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakitta Shuntel Black NPPES

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

LAKITTA SHUNTEL BLACK (NPI 1780314286) is an individual specialist in Olive Branch, Mississippi, licensed in Mississippi (557970) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1780314286
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLAKITTA SHUNTEL BLACK
Location Address7721 HACKS CROSS RD STE 114Olive Branch, MS 38654-3909
Mailing Address7721 Hacks Cross Rd Ste 114Olive Branch, MS 38654-3909 · (901) 461-2756 · Fax (662) 796-6432
Fax(662) 796-6432
Sole ProprietorYes
Enumeration DateJune 16, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1780314286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MS · 557970
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7721 HACKS CROSS RD STE 114, Olive Branch, MS 38654

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
7721 HACKS CROSS RD STE 114
OLIVE BRANCH, MS 38654

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 Lakitta Black's NPI number?

The NPI number for Lakitta Black is 1780314286. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Lakitta Black located?

Lakitta Black practices at 7721 Hacks Cross Rd Ste 114, Olive Branch, MS 38654. The listed phone number is (901) 461-2756.

What is Lakitta Black's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lakitta Black was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.