Kelly Jean Slater-Degree, RN, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15474 Issued in CA

Practice address

1043 Elm Ave Ste 300
Long Beach, CA 90813-3295

Phone

(562) 624-4908

Fax

(562) 491-9128

NPI assigned

Sep 24, 2006

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

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wu Enterprise IncGroup PAC ID 5193113090, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Wu Enterprise Inc.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1881352581
  Medicare reassignment Care Compare group NPD
• James Wu MD Inc

  • Dermatology Physician
  • Hawthorne, CA
  • NPI 1134785785
  NPD

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1104926724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 EDGEWATER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493002",
            "telephone_number": "714-615-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133295",
            "telephone_number": "562-624-4908",
            "fax_number": "562-491-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER-DEGREE",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Anesthesia, a Nursing Corporation
• Skylight Convalescent Hospital Corporation
• SL Health Inc
• Theresa Slader, RPH
• Christine Lynne Slagle, LCSW
• Debra Jayne Slater
• Jessica Anne Slaton, RD
• Gwendolyn Jean Slattery
• Suejung Estella Slay
• Kristen Ariana Slayton

• Family Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.