Katrina Archer Slagle, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024182963 Issued in VA

Practice address

365 Charles Dr
Appomattox, VA 24522-4051

Phone

(434) 444-6842

NPI assigned

Nov 16, 2021

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Appomattox, VA
  • NPI 1912788605
  Authorized official Same address or phone

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1083370720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CHARLES DR",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245224051",
            "telephone_number": "434-444-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CHARLES DR",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245224051",
            "telephone_number": "434-444-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "KATRINA",
        "middle_name": "ARCHER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rector & Visitors of the University of Virginia (UVA-Appomattox Dialysis)
• Regal Medical Services, LTD.
• Tiffany Ross, RPH
• Victoria Ann Seal, HOME HEALTH LICENSE
• Michael Wayne Shetley, ATC, CSCS
• Lisa W Smith, RPH
• Pamela Kaye Smith, MED, CEAP
• Jarred Alexander Sowards, PHARM. D.
• Kimberly Steger, LPC
• Suzanne Henri, Inc (Absolute Perfection Bra-tique)

• Psychiatric/Mental Health Nurse Practitioner in Appomattox, VA
• Providers in Appomattox, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.