1. Home
  2. Directory
  3. Virginia
  4. Reston
  5. Physician Assistant
  6. NPI Profile

ANGELIQUE V BLACK PA
NPI 1932127644
Physician Assistant - Medical in Reston, VA

Active since July 18, 2006
1850 TOWN CENTER PARKWAY, SUITE 400, RESTON, VA 20190(703) 689-0300(703) 787-9664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelique V Black Pa NPPES

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

ANGELIQUE V BLACK PA (NPI 1932127644) is an individual medical provider in Reston, Virginia, licensed in Virginia (0110002122) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1932127644
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELIQUE V BLACKCredential: PA
Location Address1850 TOWN CENTER PARKWAY, SUITE 400Reston, VA 20190
Mailing Address11240 Waples Mill Road, Suite 403Fairfax, VA 22030 · (703) 246-8080 · Fax (703) 691-4932
Phone(703) 689-0300
Fax(703) 787-9664
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932127644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110002122
1850 TOWN CENTER PARKWAY, Reston, VA 20190
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified017937C95

Other Providers at the Same Location NPPES 20

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

DONALD S INFELD MD
Emergency Medicine
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 689-9037
ORTHOVIRGINIA, INC
Clinic/Center (Multi-Specialty)
1850 TOWN CENTER PARKWAY, SUITE 400
RESTON, VA 20190
Fairfax County (703) 810-5202
ERIK A LARSEN PA
Physician Assistant
1850 TOWN CENTER PARKWAY, SUITE 400
RESTON, VA 20190
Fairfax County (703) 810-5202
ROSEMARY M ALTEMUS MD
Radiology (Radiation Oncology)
1850 TOWN CENTER PARKWAY
RESTON, VA 20190
Fairfax County (703) 689-9330
MR. STEVEN H PATANE PT
Physical Therapist
1850 TOWN CENTER PARKWAY, SUITE 403
RESTON, VA 20190
Fairfax County (703) 736-2806
DR. MARK LAWRENCE BILOWUS M.D.
Urology
1850 TOWN CENTER PARKWAY, SUITE 409
RESTON, VA 20190
Fairfax County (703) 478-0260
SUSAN G HOLBERGER PA
Physician Assistant
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 689-9037
KELLY L PASHKE CRNA
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919

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 Angelique Black's NPI number?

The NPI number for Angelique Black is 1932127644. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Angelique Black located?

Angelique Black practices at 1850 Town Center Parkway Suite 400, Reston, VA 20190. The listed phone number is (703) 689-0300.

What is Angelique Black's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Angelique Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.