NPI 1457534786 · live from the CMS NPI Registry
Sharon Black, R.D.
Dietitian, Registered in Greencastle, IN. National Provider Identifier 1457534786, active.
NPI record
| NPI | 1457534786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1542 S Bloomington St, Greencastle, IN 46135 |
| Practice phone | 765-655-2641 |
| Enumerated | December 10, 2007 |
| Last updated | December 10, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 410941 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.