Individual provider Active NPI

Courtney Ann Slater, MS, RDN, LD, CDCES

  • Registered Dietitian
  • Pleasant Hill, IA
National Provider Identifier
1093014201
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001961 Issued in IA
Practice address
4815 Maple Dr
Pleasant Hill, IA 50327-2028
Phone
(515) 262-7944
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT87058 TX
Registered Dietitian 133V00000X 164005867 IL
Registered Dietitian 133V00000X 001961 IA Primary

Addresses

Primary practice location

4815 Maple Dr
Pleasant Hill, IA 50327-2028

Mailing address

4201 Corporate Dr Ste 100
West Des Moines, IA 50266-5906
Phone (515) 329-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001961IAMDRegistered Dietitian
DT87058TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Diabetes and Endocrinology Research Center PLC CurrentSince Aug 25, 2025 Accepting new patients
Weight Loss & Wellness Center of Iowa, PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

4201 Corporate Dr
#100
West Des Moines, IA 50266
Phone (515) 207-6873

Organizations & group practices 2

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1093014201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CORPORATE DR STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665906",
            "telephone_number": "515-329-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 MAPLE DR",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503272028",
            "telephone_number": "515-262-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "MS, RDN, LD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87058",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005867",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.