VICKI L. BLACK M.D. – NPI #1609875038
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

VICKI BLACK is a physician located in YAKIMA, WA. NPPES has assigned the NPI number 1609875038 to VICKI BLACK on July 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on May 16, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICKI BLACK below.

NPI Profile for
VICKI L. BLACK

NPI Number
1609875038
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
VICKI L. BLACK
Credentials
M.D.
Primary location
1806 W LINCOLN AVE
YAKIMA, WA 98902-2473
Phone: (509) 452-4520 Fax: (509) 452-5224
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for VICKI BLACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCRIME VICTIMSWA8931362
OTHERLABOR & INDUSTRIESWA0039695
OTHERRAILROAD MEDICAREWAP000050810
MEDICAIDWA1034487
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
WA MD00015749

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.