KIMBERLY SUE BLACK RN NPI 1174042634

NPI Information

  • NPI: 1174042634
  • Provider Name: KIMBERLY SUE BLACK, RN
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 7150 CLEARVISTA DR
    INDIANAPOLIS, IN
    ZIP 46256
  • Phone: (317) 509-5321

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NPI Details

Kimberly Sue Black, RN is a general practice registered nurse in Indianapolis, IN. Kimberly Sue Black, RN NPI is 1174042634. 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:

7150 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256-695
Phone: (317) 509-5321

The enumeration date for this NPI number is 9/15/2017 and was last updated on 9/15/2017.

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
1163WG0000XRegistered NurseGeneral Practice28097369AINDIANAYes

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: 11/21/2025

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