Jacqueline Marie Slade, M.ED

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4180 S Pecos Rd
Las Vegas, NV 89121-5074

Phone

(702) 486-7500

Fax

(702) 486-7576

NPI assigned

Apr 8, 2020

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

Master of Education

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1013546233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10352 BOONE HILLS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294537",
            "telephone_number": "702-204-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215074",
            "telephone_number": "702-486-7500",
            "fax_number": "702-486-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylink Medical Transport Inc
• Skyshroud Home Health Corp
• Skyward Counseling LLC
• SL Consulting LLC
• Florence Slade
• Jakkim Slade
• Kyra Slade, APRN
• Stacy Wayne Slade, PA-C
• Troy Kendall Slade, DMD
• James Steven Slagle

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.