Active NPI
Octavia T Slevinski, ARNP
- Pediatric Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN803472
- Practice address
- 5190 Bayou Blvd Ste 7
Pensacola, FL 32503-2162 - Phone
- (850) 478-1100
- Fax
- (850) 478-4289
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN803472 | FL | Primary |
Addresses
Primary practice location
5190 Bayou Blvd Ste 7
Pensacola, FL 32503-2162
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304833100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
5190 Bayou Blvd
Ste 7
Pensacola, FL 32503
Phone (850) 478-1100
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5151 N 9th Ave
Fl 1
Pensacola, FL 32504
Phone (313) 343-3800
5192 Bayou Blvd
Pensacola, FL 32503
Phone (850) 484-5040
Interoperability endpoints
- octavia.slevinski.1@9582.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1013040682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 BAYOU BLVD STE 7",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032162",
"telephone_number": "850-478-1100",
"fax_number": "850-478-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEVINSKI",
"first_name": "OCTAVIA",
"middle_name": "T",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN803472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304833100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.