CASSIDY BLACK NPI 1114746203

NPI Information

  • NPI: 1114746203
  • Provider Name: CASSIDY BLACK
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 770 NORTHPOINT PKWY STE 102
    WEST PALM BEACH, FL
    ZIP 33407
  • Phone: (561) 655-3331

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NPI Details

Cassidy Black is an obstetrics and gynecology nurse practitioner in West Palm Beach, FL with 1 years of experience. Cassidy Black NPI is 1114746203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

770 NORTHPOINT PKWY STE 102
WEST PALM BEACH, FL
ZIP 33407-901
Phone: (561) 655-3331

The NPI 1114746203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2024 and was last updated on 10/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & Gynecology11035775FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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