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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: July 19, 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
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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.

DR. ROBERT I MASSEY MD
Anesthesiology
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
DR. TRA P BUI MD
Anesthesiology
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
KELLY L PASHKE CRNA
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
SUSAN M FEYOCK CRNA
Nurse Anesthetist, Certified Registered
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 471-0919
ROSEMARY M ALTEMUS MD
Radiology (Radiation Oncology)
1850 TOWN CENTER PARKWAY
RESTON, VA 20190
Fairfax County (703) 689-9330
SUSAN G HOLBERGER PA
Physician Assistant
1850 TOWN CENTER PARKWAY, RESTON HOSPITAL CENTER
RESTON, VA 20190
Fairfax County (703) 689-9037
MR. STEVEN H PATANE PT
Physical Therapist
1850 TOWN CENTER PARKWAY, SUITE 403
RESTON, VA 20190
Fairfax County (703) 736-2806
KRISTIN AMIRAIAN GROHS MSPT
Physical Therapist
1850 TOWN CENTER PARKWAY, SUITE 403
RESTON, VA 20190
Fairfax County (703) 736-2806

Frequently Asked Questions

What is Angelique Black's NPI number?

The NPI number assigned to this healthcare provider is 1932127644, enumerated as an "individual" on July 18, 2006.

Where is the provider located?

The provider is located at 1850 TOWN CENTER PARKWAY SUITE 400 RESTON, VA 20190 and the phone number is (703) 689-0300.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

What insurance does Angelique Black accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.