Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelique V Black, PA

Individual provider Medical Physician Assistant · NPI 1932127644

Angelique V Black, PA is a Medical Physician Assistant in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1850 Town Center Pkwy Ste 400
Reston, VA 20190
Phone: (703) 689-0300
Fax: (703) 787-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002122 (VA)

Record details

NPI number1932127644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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