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

Katherine Ross Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710719414

Katherine Ross Black is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Graduated from Florida International Univ, College of Medicine in 2024, 2 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Trained at
Florida International Univ, College of Medicine
Licensed in
NE
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

951 Brickell Ave Apt 1103
Miami, FL 33131-3934
Phone: (601) 720-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 101911 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710719414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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