Brenda Dawn Slade, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F420129-1 Issued in NY

Practice address

3009 Broadway
Barnard College Health Service
New York, NY 10027-6905

Phone

(212) 854-2091

Fax

(212) 854-2702

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Health Service

  • Student Health Clinic/Center
  • New York, NY
  • NPI 1144300070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003035551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 RIVERSIDE DR",
            "address_2": "APT. 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253422",
            "telephone_number": "212-666-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "address_2": "BARNARD COLLEGE HEALTH SERVICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276905",
            "telephone_number": "212-854-2091",
            "fax_number": "212-854-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "BRENDA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420129-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SL Physician PC
• SL Wellness Acupuncture PC
• Christine Slack
• Daniel Jeffrey Slack, MD
• Susan T Slack, R.N.
• Darya Slade, LCSW
• Morgan Elizabeth Slade, PA-C
• Robert Neil Sladen, M.D.
• Jason S Slakter, MD
• Lauren Slakter

• Women's Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.