Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760926265 Individual Practitioner Female Practitioner

Keicha Black

Licensed Practical Nurse • Silver Spring, MD

Professional Overview & Biography Verified Profile Summary

Keicha Black is a registered healthcare professional specializing in Licensed Practical Nurse in Silver Spring, MD. Practice services are available at 962 WAYNE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

962 Wayne Ave
Suite 600

Silver Spring, MD 209104433

Telephone 3015859595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Silver Spring, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Silver Spring, MD (636 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MD LP34016

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erin Reilly

Behavior Technician

NPI 1023811361
Izaiah Plaza

Behavior Technician

NPI 1073477949
Mujidat Adelaja

Home Health Aide

NPI 1124774328
Kristchen During

Behavior Technician

NPI 1184348450
Ericka Dennis

Nurse's Aide

NPI 1205360112
Lily Agyeman

Nurse's Aide

NPI 1225521628

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2016

Registered at 962 WAYNE AVE, SUITE 600, SILVER SPRING, MD 209104433 (Tel: 3015859595)

📍
Updated Business Mailing Address December 19, 2016

Registered at 962 WAYNE AVE, SUITE 600, SILVER SPRING, MD 209104433

👤
Provider Name / Credentials Updated December 19, 2016

Recorded as KEICHA BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Licensed Practical Nurse (License #LP34016 in MD)

🟢
Initial NPI Registration & Enumeration December 19, 2016

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: 1760926265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2016
Last Update: December 19, 2016
Sole Proprietor: Yes

Mailing Address

962 Wayne Ave, Suite 600

Silver Spring, MD 209104433

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.