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Deactivated NPI 1679755391 Deactivated / Inactive NPI Female Practitioner

Claralee Black

Prosthetist • Bloomington, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Claralee Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2007
NPI Deactivation Date August 30, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Claralee Black was a registered Prosthetist practicing in Bloomington, IN. Throughout an active medical career spanning 10 years, Claralee Black provided care at the practice location at 313 W 17TH ST until profile deactivation on 2017-08-30.

Practice Location & Contact Primary Location

Practice Address

313 W 17th St

Bloomington, IN 474043453

Telephone 8123324914
Associated Practice Facility / Clinic
🏢 Wig Wam Boutique Llc Facility NPI 1821504697

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bloomington, IN (25 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

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 30, 2017

Record deactivated on August 30, 2017

NPI Profile Active November 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2009

Registered at 313 W 17TH ST, BLOOMINGTON, IN 474043453 (Tel: 8123324914)

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Updated Business Mailing Address November 17, 2009

Registered at 313 W 17TH ST, BLOOMINGTON, IN 474043453 (Tel: 8123324914)

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Provider Name / Credentials Updated November 17, 2009

Recorded as CLARALEE BLACK

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2009

Prosthetist

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Initial NPI Registration & Enumeration December 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679755391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2007
Last Update: November 17, 2009
Deactivation Date: August 30, 2017

Mailing Address

313 W 17th St

Bloomington, IN 474043453

Phone: 8123324914

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.