Individual provider Active NPI

Jamie Lynn Slaven, APN-C

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1184896003
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00127600 Issued in NJ
Practice address
4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone
(877) 870-1775
Fax
(614) 968-8840
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPPA044139 PA
Family Nurse Practitioner 363LF0000X 375 FL
Family Nurse Practitioner 363LF0000X F347718-01 NY
Family Nurse Practitioner 363LF0000X 202201782NP-PP OR
Family Nurse Practitioner 363LF0000X 95020871 CA
Family Nurse Practitioner 363LF0000X A177161 IA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X C-APN.0100967 CO
Family Nurse Practitioner 363LF0000X 24188689 VA
Family Nurse Practitioner 363LF0000X AP61499322 WA
Family Nurse Practitioner 363LF0000X 26NJ00127600 NJ Primary

Addresses

Primary practice location

4200 Regent St Ste 200
Columbus, OH 43219-6229

Mailing address

4200 Regent St Ste 200
Columbus, OH 43219-6229

Other practice location 1

1127 Broadway St NE Apt 310
Salem, OR 97301-1139
Phone (772) 217-4557

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

LicenseStateTypeSpecialty
95020871CAMDFamily Nurse Practitioner
C-APN.0100967COMDFamily Nurse Practitioner
375FLMDFamily Nurse Practitioner
A177161IAMDFamily Nurse Practitioner
26NJ00127600NJMDFamily Nurse Practitioner
F347718-01NYMDFamily Nurse Practitioner
202201782NP-PPORMDFamily Nurse Practitioner
NPPA044139PAMDFamily Nurse Practitioner
24188689VAMDFamily Nurse Practitioner
AP61499322WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of California, P.C. Multi-Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1184896003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Broadway St NE Apt 310",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011139",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "NPPA044139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347718-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202201782NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A177161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0100967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24188689",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61499322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00127600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.