Jennifer Sloboda, APRN

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

APRN11012861 Issued in FL

Practice address

436 Carson Oaks LN
Santa Rosa Beach, FL 32459-7159

Phone

(630) 337-0990

NPI assigned

Feb 1, 2022

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1104579929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CARSON OAKS LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597159",
            "telephone_number": "630-337-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CARSON OAKS LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597159",
            "telephone_number": "630-337-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODA",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "APRN11012861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Shideler, DC
• Ashley Shirk, DPT
• Donna Simmons, LMHC
• Morgan Sipes-Burgess, PT, DPT
• Randi Ann Slaughter
• Richard Slusher, LMT
• Christine F Smiley, DO
• Justin Smiley, DO
• Connor Smith, MD
• Itetra Smith

• Pediatrics Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.