Individual provider Active NPI

Nicole Lyne Slater-Weimann

  • Specialist
  • Wappingers Falls, NY
National Provider Identifier
1235729666
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
136 Sheafe Rd
Wappingers Falls, NY 12590-1100
Phone
(845) 296-1879
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

136 Sheafe Rd
Wappingers Falls, NY 12590-1100

Mailing address

136 Sheafe Rd
Wappingers Falls, NY 12590-1100
Phone (845) 296-1879

Other practice location 1

28 Kinderhook Dr
Poughkeepsie, NY 12603-5309
Phone (845) 702-1221

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1235729666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHEAFE RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901100",
            "telephone_number": "845-296-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHEAFE RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901100",
            "telephone_number": "845-296-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Kinderhook Dr",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126035309",
            "country_code": "US",
            "telephone_number": "845-702-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATER-WEIMANN",
        "first_name": "NICOLE",
        "middle_name": "LYNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.