DR. KELLY DIANE SLATEN (NPI# 1063033157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063033157 |
| Entity Type | Individual |
| Full Name | DR. KELLY DIANE SLATEN |
| Credential | PHARMD |
| Practice Address |
1725 Pine St Montgomery AL 36106-1117 |
| Mailing Address |
100 Cobblestone Ln Hoover AL 35244-3507 |
| Practice Telephone | 3342938000 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20922 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA PHARMACIST LICENSE | 20922 | 01 |
| Street Address |
1725 PINE ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267339 | Noland Hospital Montgomery II, LLC | Long Term Care Hospital | 1725 Pine St, 6th Floor, North Wing, Montgomery, AL 36106-1109 | 2005-07-07 |
| 1861016909 | Joshua Hunter Pybus | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2020-06-04 |
| 1215572888 | Integrated Care-alabama LLC | Emergency Medicine | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-11-07 |
| 1699336644 | Jasmine Necole Abebe | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-06-20 |
| 1619530326 | Ashley Tippins | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-3610 | 2019-04-18 |
| 1821550781 | Sharonica Rena Frazier | Registered Nurse | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-04-01 |
| 1497229538 | Michelle L Roll | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2019-01-11 |
| 1275033441 | Sarah Lauren Monson | Nurse Anesthetist, Certified Registered | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-02-14 |
| 1013424159 | Brenda Simyiu | Pharmacist | 1725 Pine St, Montgomery, AL 36106-1109 | 2018-01-09 |
| 1043723232 | Brandi Parker Huett | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-1109 | 2017-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148389 | Jovan Maurice Dudley | Pharmacist | 2180 Woodforest Pkwy N, Montgomery, TX 77316-6958 | 2020-09-15 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| 1003427493 | James Miracle | Pharmacist | 2015 Normandie Dr, Montgomery, AL 36111-2711 | 2020-08-11 |
| 1245754613 | Matthew Alan Cole | Pharmacist | 215 Perry Hill Rd Dept 119, Montgomery, AL 36109-3725 | 2017-07-27 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1043675895 | Payal Patel | Pharmacist | 7932 Vaughn Rd, Montgomery, AL 36116-6625 | 2015-12-21 |
| 1366837072 | John Tyler Rinker | Pharmacist | 10472 Duncannon Trl, Montgomery, AL 36117-1201 | 2015-03-30 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1548659006 | Gary Frazier Jr. | Pharmacist | 2300 E South Blvd, Montgomery, AL 36116-2504 | 2015-01-21 |
| 1437554508 | Robert Hassett | Pharmacist | 1028 Magnolia Curv, Montgomery, AL 36106-2133 | 2014-10-30 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on DR. KELLY DIANE SLATEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.