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

Latisha Black, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1033662242

Latisha Black, APRN is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Iowa and Nebraska.

Years since qualifying
10
Licensed in
IA, NE
In the registry since
2016
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

810 N 107th Ave Apt 301
Omaha, NE 68114-2042
Phone: (402) 612-1856
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 112100 (NE)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence H156127 (IA)
Registered Nurse Taxonomy 163W00000X · Licence 56246 (NE)

Record details

NPI number1033662242
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 25, 2016
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address810 N 107th Ave Apt 301, Omaha, NE 68114-2042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Omaha