Cristin C Slater, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

M8614 Issued in ID

Practice address

111 Main St
#100
Boise, ID 83702-7307

Phone

(208) 342-5900

Fax

(208) 342-2088

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Cristin Coulam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Idaho Center for Reproductive Medicine PC

  • Reproductive Endocrinology Physician
  • Boise, ID
  • NPI 1063551174
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013014745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "address_2": "#100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027307",
            "telephone_number": "208-342-5900",
            "fax_number": "208-342-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "address_2": "#100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027307",
            "telephone_number": "208-342-5900",
            "fax_number": "208-342-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "CRISTIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "ID",
            "license": "M8614",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G81581",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "UT",
            "license": "61941811205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51292",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIN",
            "last_name": "COULAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skybreak Therapy, PLLC
• SL Vision PLLC
• Camille R Slack
• Austen Daniel Slade, M.D.
• Kristen Slappey, DO
• Fatma Slaton
• Rasha Slaton
• John C. Slattery, DDS, MS
• Ryan Slaughter, M.D.
• Sara Slaughter, LPC

• Reproductive Endocrinology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Reproductive Endocrinology Physician in Idaho

• 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.