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

Ellie Catharine Black, FNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1962009324

Ellie Catharine Black, FNP-C is a Nurse Practitioner in Sparks, Nevada. Qualified in 2020, 6 years ago. Practices with Tahoe Forest Hospital District, a 142-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
6
Licensed in
CA, NV
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

5265 Vista Blvd Bldg B
Sparks, NV 89436-0836
Phone: (775) 352-5335
Fax: (775) 352-5334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 832783 (NV)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95014901 (CA)

Record details

NPI number1962009324
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 7, 2020
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tahoe Forest Hospital District — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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