Individual provider Active NPI

Joe Lawrence Sledge, RN FNP

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1053740753
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
653463 Issued in TX
Practice address
1631 11TH St Ste a
Wichita Falls, TX 76301-4320
Phone
(940) 624-3222
Fax
(940) 264-3225
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 653463 TX Primary

Addresses

Primary practice location

1631 11TH St Ste a
Wichita Falls, TX 76301-4320

Mailing address

1631 11TH St Ste a
Wichita Falls, TX 76301-4320
Phone (940) 624-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140411001558 TX Practitioner - Nurse Practitioner 9133351869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Heart and Vascular Center, PLLC CurrentSince Nov 1, 2013 Accepting new patients
Advanced Heart and Vascular Medicine PLLC CurrentSince Aug 1, 2020 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients

Locations

1631 11th St
Unit A
Wichita Falls, TX 76301
Phone (940) 263-3003

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: jsledge14721@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1053740753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH ST STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-624-3222",
            "fax_number": "940-264-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH ST STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014320",
            "telephone_number": "940-624-3222",
            "fax_number": "940-264-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "JOE",
        "middle_name": "LAWRENCE",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "653463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.