Rebekah S Slocum, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024167406 Issued in VA

Practice address

1101 1St St SW
Roanoke, VA 24016-4701

Phone

(540) 342-7680

Fax

(540) 342-7683

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1063433357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 1ST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164701",
            "telephone_number": "540-342-7680",
            "fax_number": "540-342-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 1ST ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164701",
            "telephone_number": "540-342-7680",
            "fax_number": "540-342-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "REBEKAH",
        "middle_name": "S",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "7799-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024167406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000370805",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poarch G. Sledd, LPC
• Andrew Slemp, MD
• April Sloan, M.S. CCC-SLP
• Cole Sloboda
• Christopher Lee Slocum, MD
• Anthony D Slonim, MD
• Jonathan Sloop
• Jacek S Slowikowski, M.D.
• Monika Helena Slowikowski
• Aaron Christopher Slusher, L.C.S.W.

• Pediatric Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.