Melissa Bonnie Slater, CCHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

43411 Garfield Rd Ste a
Clinton TWP, MI 48038-1152

Phone

(586) 842-0889

Fax

(586) 649-7583

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mslater777452@direct.hfhs.org

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.

• GMP Network

  dba Greater Macomb PHO

  • Case Management Agency
  • Clinton Township, MI
  • NPI 1619386620
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1184485617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381152",
            "telephone_number": "586-842-0889",
            "fax_number": "586-649-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381152",
            "telephone_number": "586-842-0889",
            "fax_number": "586-649-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "MELISSA",
        "middle_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "CCHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie L Smiley, PHYSICIAN ASST C

• Community Health Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.