Active NPI
Sandra S Slater
- Homemaker
- Charleston, WV
National Provider Identifier
1235725136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835 - Phone
- (304) 965-9081
- Fax
- (304) 346-1860
- NPI assigned
- Dec 15, 2020
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835
Mailing address
4670 Lower Falls Rd
Saint Albans, WV 25177-7913
Phone (304) 644-5547
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SandraSlater61@yahoo.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1235725136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4670 LOWER FALLS RD",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251777913",
"telephone_number": "304-644-5547",
"fax_number": "304-471-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 PENNSYLVANIA AVE STE C",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253024835",
"telephone_number": "304-965-9081",
"fax_number": "304-346-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "SANDRA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SandraSlater61@yahoo.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4510 Pennsylvania Ave Ste C",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253024835",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.