Individual provider Active NPI

Kaitlin Slater, FNP-C

  • Family Nurse Practitioner
  • Callicoon, NY
National Provider Identifier
1245035369
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356223 Issued in NY
Practice address
8881 State Route 97
Callicoon, NY 12723-5052
Phone
(845) 333-6860
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 717454 NY
Family Nurse Practitioner 363LF0000X 356223 NY Primary

Addresses

Primary practice location

8881 State Route 97
Callicoon, NY 12723-5052

Mailing address

8881 State Route 97
Callicoon, NY 12723-5052
Phone (845) 333-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313003614 NY Practitioner - Nurse Practitioner 7012439573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garnet Health Urgent Care PCGroup PAC ID 5395009765, 21 clinicians
Garnet Health Doctors PCGroup PAC ID 8628293545, 165 clinicians

Practice addresses (Care Compare)

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

8881 State Route 97
Callicoon, NY 12723-5052
Phone (845) 333-6800

Hospital & facility affiliations

  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • Garnet Health Medical Center Catskills Hospital, Callicoon, NY, CCN 331303
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
717454NYMDRegistered Nurse
356223NYMDFamily Nurse Practitioner

Practice roles (2 of 5)

OrganizationSpecialtyStatusNew patients
Garnet Health Doctors PC CurrentSince Apr 7, 2025 Accepting new patients
Garnet Health Doctors PC CurrentSince Apr 7, 2025 Accepting new patients

Locations

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

36 Pearl St
Livingston Manor, NY 12758
Phone (845) 439-3575

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

38 Concord Rd
Monticello, NY 12701
Phone (845) 333-6500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kslater34260@direct.garnethealth.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1245035369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 STATE ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235052",
            "telephone_number": "845-333-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 STATE ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235052",
            "telephone_number": "845-333-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "KAITLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callicoon, NY

Sources for this page

Verify at the official NPI Registry.