STEPHANIE GRACE SLATER (NPI# 1396073946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396073946 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRACE SLATER |
| Credential | RN, CPNP |
| Practice Address |
9411 N Lamar Blvd Ste 120 Austin TX 78753-4179 |
| Practice Telephone | 5127446000 |
| Practice Fax Number | 5123341003 |
| Mailing Telephone | 5127446000 |
| Mailing Fax Number | 5123341003 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP110325 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
644868 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3535304-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588961320 | Stephanie R. Slater | Registered Nurse | 13320 E Mission Ave Apt 338, Spokane Valley, WA 99216-2784 | 2011-02-14 |
| 1437587623 | Stephanie Slater | Physical Therapist | 320 Main St, West Newbury, MA 01985-1420 | 2013-10-24 |
| Street Address |
9411 N LAMAR BLVD STE 120 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114494150 | Nikki C Quesada | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2018-10-29 |
| 1326402751 | Carousel Nks Dental Services Pllc | Dentist | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2016-04-12 |
| 1346646650 | Catherine Gibson | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2014-11-13 |
| 1881097939 | Kimberly Tarla | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2014-10-03 |
| 1851794408 | Brooke Carsten | Physical Therapist | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2014-09-26 |
| 1891059622 | Misty Dawn Lytle | Nurse Practitioner | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2012-06-26 |
| 1649531336 | David R. Jones, D.d.s., Inc. | Dentist | 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342903 | Jillian Lounsberry | Nurse Practitioner | 3000 N Ih 35 Ste 770, Austin, TX 78705-1853 | 2019-08-22 |
| 1790227106 | Natalie Buchanan | Nurse Practitioner | 7004 Bee Cave Roa, Austin, TX 78746 | 2016-11-16 |
| 1639558299 | Kayleigh Todd | Nurse Practitioner | 2500 Burleson Rd, Apt 316, Austin, TX 78741-5609 | 2015-05-28 |
| 1528445103 | Sarah Berger | Nurse Practitioner | 13917 W Hwy 71 Ste A, Austin, TX 78738 | 2015-05-02 |
| 1982007639 | Erin Nelson | Nurse Practitioner | 6618 Sitio Del Rio Blvd Ste A101, Austin, TX 78730-1144 | 2014-10-08 |
| 1720422504 | Emily Claire Wolfe | Nurse Practitioner | 5301b Davis Ln, Austin, TX 78749-3961 | 2013-04-23 |
| 1073890976 | Linda Jeanne Kangos | Nurse Practitioner | 12411 Hymeadow Dr Ste 3f, Austin, TX 78750-1829 | 2011-11-07 |
| 1154651636 | Karen L Borich | Nurse Practitioner | 1807 West Slaughter Lane, Suite 490, Austin, TX 78748-3632 | 2010-01-06 |
| 1497991335 | Sara Napora | Nurse Practitioner | 3305 Clearview Dr, Austin, TX 78703-2747 | 2008-12-24 |
| 1922270248 | Amy Nichols | Nurse Practitioner | 2102 Quicksilver Blvd, Austin, TX 78744-5659 | 2008-03-26 |
| Find all providers in AUSTIN | ||||
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| 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.