MEDICARE: AMBER BLACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1821448473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER BLACK

Provider Business Mailing Address
First Line	:	5919 BANKSIDE WAY
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-2527
Country	:	US
Telephone Number	:	775-657-0433
Fax Number	:

Provider Business Practice Location Address
First Line	:	5919 BANKSIDE WAY
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-2527
Country	:	US
Telephone Number	:	775-657-0433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	06/14/2016

Similar Medicare Providers

1427282615 — ALICIA ROCHELLE TAU
Practice Location Address:

18271 DUSTIN CT
RENO, NV
89508-2527

Practice Phone: 775-250-5367
Practice Fax:

1710111919 — CALVIN WAYNE CRIDDLE JR.
Practice Location Address:

18271 DUSTIN CT
RENO, NV
89508-2527

Practice Phone: 775-250-5367
Practice Fax:

1225814288 — MRS. ASHLEY BOUSQUET FNP
Practice Location Address:

1592 RENO VIEW DR
RENO, NV
89523-9175

Practice Phone: 310-525-0507
Practice Fax:

1215888730 — KIEGAN SHACKLETON
Practice Location Address:

2190 ALTAMIRA DR
RENO, NV
89523-1520

Practice Phone: 530-314-1971
Practice Fax:

1336091578 — LOGAN M POLLARD DPT, PT
Practice Location Address:

1610 ROBB DR STE D5
RENO, NV
89523-3520

Practice Phone: 775-746-9222
Practice Fax: 775-746-9224

1609607563 — MASH ENTERPRISES LLC
Practice Location Address:

6190 MAE ANNE AVE STE 1
RENO, NV
89523-4709

Practice Phone: 775-260-7000
Practice Fax: 775-413-0265

Directions to “ AMBER BLACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.