Active NPI
Kathryn Slott Villano, MD
- Maternal & Fetal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME 95466
- Practice address
- 836 Prudential Dr
Suite #1800
Jacksonville, FL 32207-8334 - Phone
- (904) 398-7684
- Fax
- (904) 398-4998
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | ME 95466 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr
Suite #1800
Jacksonville, FL 32207-8334
Mailing address
1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001479500 | Medicaid | FL |
Other names 1
- Kathryn Stanley Slott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13241 Bartram Park Blvd
Unit 1017
Jacksonville, FL 32258-5234
Phone (904) 423-2670
3030 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33607-6308
Phone (813) 879-4730
3030 W Dr MLK Jr Blvd
Tampa, FL 33607-6308
Phone (813) 870-4000
3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (904) 399-6111
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 202-2902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95466 | FL | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Pediatrix Medical Group of Florida Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| Camden OBGYN | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
836 Prudential Dr
Ste 1800
Jacksonville, FL 32207
Phone (904) 398-7684
13241 Bartram Park Blvd
Unit 1017
Jacksonville, FL 32258
Phone (904) 260-2001
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
202 Lakeshore Dr
Ste B
Saint Marys, GA 31558
Phone (912) 673-1771
202 Lakeshore Dr
Ste A
Saint Marys, GA 31558
Phone (912) 510-3454
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Maternal & Fetal Medicine
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Obstetrics & Gynecology Physician
- Saint Marys, GA
- NPI 1760605471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1104986892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232815",
"telephone_number": "800-243-3839",
"fax_number": "855-527-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR",
"address_2": "SUITE #1800",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078334",
"telephone_number": "904-398-7684",
"fax_number": "904-398-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANO",
"first_name": "KATHRYN",
"middle_name": "SLOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "FL",
"license": "ME 95466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001479500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "SLOTT",
"middle_name": "STANLEY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.