Individual provider Active NPI

Michael M Slaughter, FNP

  • Nurse Practitioner
  • Sulphur Springs, TX
National Provider Identifier
1306151022
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
687662 Issued in TX
Practice address
1216 Church St
Sulphur Springs, TX 75482-2108
Phone
(903) 885-2820
Fax
(903) 885-2989
NPI assigned
Aug 18, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 687662 TX Primary

Addresses

Primary practice location

1216 Church St
Sulphur Springs, TX 75482-2108

Mailing address

2514 Larchmont Dr
Mesquite, TX 75150-5230
Phone (214) 558-1104

Other identifiers 1

IdentifierTypeStateIssuer
F0179018OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110503000450 TX Practitioner - Nurse Practitioner 9537344783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
687662TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Mar 31, 2026 Accepting new patients
Interventional Partners PLLC CurrentSince Mar 31, 2026 Accepting new patients
Charles J. Rodman, MD PA Past Accepting new patients
East Texas Surgical Associates, PA Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306151022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 LARCHMONT DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505230",
            "telephone_number": "214-558-1104",
            "fax_number": "972-216-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 CHURCH ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822108",
            "telephone_number": "903-885-2820",
            "fax_number": "903-885-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "687662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "F0179018",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.