NPI 1992719603 · live from the CMS NPI Registry
Catherine J Black, MSN, ARNP, CPNP
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1992719603, active.
NPI record
| NPI | 1992719603 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2401 Gillham Rd, Kansas City, MO 64108 |
| Practice phone | 816-860-3080 |
| Mailing address | 5515 West 81st Terrace, Prairie Village, KS 66208 |
| Enumerated | July 28, 2006 |
| Last updated | January 25, 2016 |
| Sole proprietor | No |
| Other names | Catherine Faust |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 121959 (MO) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 44615 (KS) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 1341691052 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.