Colleen Sloan, PA-C, RDN

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9110747 Issued in FL

Practice address

1015 N State Road 7 Ste D
Royal Palm Beach, FL 33411-5185

Phone

(561) 798-9417

Fax

(561) 798-9419

NPI assigned

Apr 15, 2014

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: csloan@pa.trimed.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1275952459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "561-798-9417",
            "fax_number": "561-798-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N STATE ROAD 7 STE D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115185",
            "telephone_number": "561-798-9417",
            "fax_number": "561-798-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "COLLEEN",
        "credential": "PA-C, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024400600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sohodra Natasha Singh
• Kapil Saikaran Sirivolu, DMD
• Sunitha Sirivolu, D.M.D.
• Ryan Jonathan Skarbek, D.O.
• Jamie Marie Slattery, PTA
• Smart Nursing LLC
• Smile Perfection Dental & Braces of Royal Palm Beach PA
• Jullia Smith
• Marilyn F Solano
• Motaz Soliman

• Medical Physician Assistant in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.