Active NPI
Nicholas Theodore Slimick
- Certified Registered Nurse Anesthetist
- Gainesville, FL
National Provider Identifier
1053155283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8360
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 265-0111
- NPI assigned
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 8360 | NC | Primary |
| Registered Nurse | 163W00000X | RN9577243 | FL |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
11300 NE 2ND Ave
Miami Shores, FL 33161-6628
Other practice location 1
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-3100
Other practice location 2
1500 SW 1st Ave
Ocala, FL 34471-6504
Phone (352) 351-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9577243 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1053155283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 NE 2ND AVE",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331616628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-0111"
}
],
"practiceLocations": [
{
"address_1": "4420 Lake Boone Trl",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "919-784-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 SW 1st Ave",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344716504",
"country_code": "US",
"telephone_number": "352-351-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLIMICK",
"first_name": "NICHOLAS",
"middle_name": "THEODORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "8360",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9577243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.