John D Slightam, M.D,

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

WA00028291 Issued in WA

Practice address

19987 1St Ave S
Suite 101
Normandy Park, WA 98148-2400

Phone

(206) 824-5554

Fax

(206) 824-5550

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1043347818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-5554",
            "fax_number": "206-824-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 101",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-5554",
            "fax_number": "206-824-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIGHTAM",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "WA00028291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070028",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark William Rusnak, D.C.
• Larissa K Sande, LMT
• Gloria Scott, LMT
• Sea-Mar Community Health Center
• Roger Alan Shelton, D.C.
• Danny Douglas Steele, LMP
• Steneker Family Medicine
• Ronald Murray Sterling, M.D.
• Brian Martin Stuck, D.C.
• Bethany Suhn, RN

• Psychiatry Physician in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.