Individual provider Active NPI

John Earl Slaughter, FNP

  • Nurse Practitioner
  • La Porte, TX
National Provider Identifier
1073500955
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
776723 Issued in TX
Practice address
3815 Oakwilde Cir
La Porte, TX 77571-4496
Phone
(281) 412-0900
Fax
(281) 317-8990
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 6779 TX
Radiology Chiropractor 111NR0200X 6779 TX
Occupational Health Chiropractor 111NX0100X 6779 TX
Nurse Practitioner 363L00000X 776723 TX Primary
Family Nurse Practitioner 363LF0000X 776723 TX

Addresses

Primary practice location

3815 Oakwilde Cir
La Porte, TX 77571-4496

Mailing address

3815 Oakwilde Cir
La Porte, TX 77571-4496
Phone (281) 412-0900

Other identifiers 3

IdentifierTypeStateIssuer
8BL830OtherTXBCBS
8AR810OtherBCBS
8P5800OtherTXBLUE CROSS BLUE SHIELD

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
I20120109000339 TX Practitioner - Nurse Practitioner 1254391154 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
776723TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Virtual Primary-Care Connection, LLC CurrentSince Sep 30, 2020 Accepting new patients
Pearland Health & Wellness LLC Past Accepting new patients
Advanced Medical Associates Past Accepting new patients

Locations

363 N Sam Houston Pkwy E
Houston, TX 77060
Phone (225) 278-6607

19901 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 207-1346

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1073500955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 OAKWILDE CIR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714496",
            "telephone_number": "281-412-0900",
            "fax_number": "281-317-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 OAKWILDE CIR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714496",
            "telephone_number": "281-412-0900",
            "fax_number": "281-317-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "JOHN",
        "middle_name": "EARL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "6779",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "6779",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "6779",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "776723",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "776723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BL830",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AR810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P5800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.