Active NPI
Lori Beth Slagle
- Registered Nurse
- Raleigh, NC
National Provider Identifier
1104496645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 251767
- Practice address
- 2601 N Falls Dr
Raleigh, NC 27615-1256 - Phone
- (434) 228-0361
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 251767 | NC | Primary |
Addresses
Primary practice location
2601 N Falls Dr
Raleigh, NC 27615-1256
Mailing address
2601 N Falls Dr
Raleigh, NC 27615-1256
Phone (434) 228-0361
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251767 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1104496645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N FALLS DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276151256",
"telephone_number": "434-228-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N FALLS DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276151256",
"telephone_number": "434-228-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAGLE",
"first_name": "LORI",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "251767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.