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Active NPI 1508040270 Individual Practitioner Female Practitioner

Nancy A Black , LPN

Licensed Practical Nurse • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Nancy Black, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Gallup, NM. Practice services are available at 516 NIZHONI BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 Nizhoni Blvd

Gallup, NM 873015748

Telephone 5057221000
Fax 5057221310
Associated Practice Facility / Clinic
🏢 Gallup Indian Medical Center Facility NPI 1285811208

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gallup, NM

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

Practicing in Gallup, NM (173 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 NM L13493

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
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Oluremi Esuruoso , RN

Registered Nurse

NPI 1003115833

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2007

Registered at 516 NIZHONI BLVD, GALLUP, NM 873015748 (Tel: 5057221000)

📍
Updated Business Mailing Address December 18, 2007

Registered at PO BOX 1337, GALLUP, NM 873051337 (Tel: 5057221000)

👤
Provider Name / Credentials Updated December 18, 2007

Recorded as NANCY BLACK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2007

Licensed Practical Nurse (License #L13493 in NM)

🟢
Initial NPI Registration & Enumeration December 18, 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: 1508040270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2007
Last Update: December 18, 2007
Sole Proprietor: No

Mailing Address

Po Box 1337

Gallup, NM 873051337

Phone: 5057221000

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.