Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831639640 Individual Practitioner Female Practitioner

Bertha Black

Registered Nurse • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Bertha Black is a registered healthcare professional specializing in Registered Nurse in Lutz, FL. Practice services are available at 15420 LIVINGSTON AVE APT 1205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15420 Livingston Ave Apt 1205

Lutz, FL 335593419

Telephone 7026064701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Lutz, FL (4872 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License FL RN9375645

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Department Of Labor
623168900

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2017

Registered at 15420 LIVINGSTON AVE APT 1205, LUTZ, FL 335593419 (Tel: 7026064701)

📍
Updated Business Mailing Address February 27, 2017

Registered at 15420 LIVINGSTON AVE APT 1205, LUTZ, FL 335593419

👤
Provider Name / Credentials Updated February 27, 2017

Recorded as BERTHA BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Registered Nurse (License #RN9375645 in FL)

🟢
Initial NPI Registration & Enumeration February 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831639640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2017
Last Update: February 27, 2017
Sole Proprietor: Yes

Mailing Address

15420 Livingston Ave Apt 1205

Lutz, FL 335593419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.