SUSAN B SLATTERY (NPI# 1821035031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821035031 |
| Entity Type | Individual |
| Full Name | SUSAN B SLATTERY |
| Credential | CNM, WHNP |
| Practice Address |
99 Central Ave Ashland OR 97520-1787 |
| Mailing Address |
19 Myrtle St Medford OR 97504-7337 |
| Practice Telephone | 5414829741 |
| Practice Fax Number | 5414886141 |
| Mailing Telephone | 5414829741 |
| Mailing Fax Number | 5414886141 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
200850169NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 200850169NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 209-001582 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON LICENSE | 200850169NP | 01 |
| IL | APN LICENSE | 209-001582 | 01 |
| IL | RN LICENSE | 041-305999 | 01 |
| Street Address |
99 CENTRAL AVE |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370391 | Diane C. Williams | Pediatrics | 99 Central Ave, Ashland, OR 97520-1787 | 2005-10-17 |
| 1164083473 | Mele Vaa | Interpreter | 99 Central Ave, Ashland, OR 97520-1787 | 2019-06-26 |
| 1083279723 | Laura Buckley | Physician Assistant | 99 Central Ave, Ashland, OR 97520-1787 | 2019-05-08 |
| 1326333519 | Chad Michael Brown | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2011-06-15 |
| 1922302066 | Tod Alan Vogel | Counselor | 99 Central Ave, Ashland, OR 97520-1787 | 2011-01-04 |
| 1992033070 | Rachel Cristine Klein | Nurse Practitioner | 99 Central Ave, Ashland, OR 97520-1787 | 2009-11-30 |
| 1124258348 | Kimberly Ellyn Cohen Wasserman | Social Worker | 99 Central Ave, Ashland, OR 97520-1787 | 2009-07-22 |
| 1538229927 | Jean A Keevil | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-12-08 |
| 1306953476 | Richard L Morris | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-08-24 |
| 1558371435 | Daniel Matthew Weiner | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013307685 | Christa Elane Degrazia | Nurse Practitioner | 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 | 2015-02-03 |
| 1467671842 | Dianne Faye Stumpf | Nurse Practitioner | Ashland University, 401 College Ave., Ashland, OH 44805 | 2007-04-24 |
| 1699708719 | Nancy Kay Eubank | Nurse Practitioner | 529 W 7th Street, Ashland, KS 67831 | 2006-07-09 |
| 1689670663 | Bunny Day Lewis | Nurse Practitioner | 540 Catalina Dr, Ashland, OR 97520-1605 | 2005-06-23 |
| 1316561046 | Kings Daughters Medcial Specialties Inc | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2020-05-28 |
| 1619273885 | Sarah Lucas | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2011-02-04 |
| 1750511788 | Sabrina Brown | Nurse Practitioner | 2001 Winchester Ave, Ashland, KY 41101-7743 | 2009-07-24 |
| 1366542474 | Tracy L Hunter | Nurse Practitioner | 2245 Winchester Ave, Suite 1, Ashland, KY 41101 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1093292971 | Tracie Lynn Wright | Nurse Practitioner | 572 Barton Rd, Eagle Point, OR 97524-4405 | 2018-07-24 |
| 1780048124 | Degrazia Wellness, LLC | Nurse Practitioner | 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 | 2016-04-12 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1699186395 | Jennifer Marie Kowalczyk | Nurse Practitioner | 715 Nw Dimmick St, Grants Pass, OR 97526-1536 | 2014-05-15 |
| 1558782318 | Rebecca M Meek | Nurse Practitioner | 2430 S 6th St, Klamath Falls, OR 97601-4342 | 2013-12-21 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1689004053 | Kendra Parkin | Nurse Practitioner | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2013-11-20 |
| 1467742205 | Jennifer Lynda Roberson | Nurse Practitioner | 12550 Sw 2nd St, Beaverton, OR 97005-0519 | 2011-04-13 |
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| Find all providers with the same taxonomy | ||||
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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.