Donna Lynn Slater

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

477573 Issued in CA

Practice address

Villa Fairmont
15200 Foothill Blvd
San Leandro, CA 94578

Phone

(510) 352-9690

Fax

(510) 352-9008

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1053070425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 WARBLER CT",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945792751",
            "telephone_number": "510-435-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA FAIRMONT",
            "address_2": "15200 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-352-9690",
            "fax_number": "510-352-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "477573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Skandari
• Jonathan Sklar
• Rebecca April Sklar, MSW
• Stephanie Evelyn Anne Slack
• Nicole Slade
• Diah Avonne Slaton
• Sleep Experts Inc
• Stephen Roger Slingsby, PHARM.D.
• Hilary Sluis, M.S.
• Natalie N Smart

• Psychiatric/Mental Health Registered Nurse in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.