Individual provider Active NPI

Jenette Denise Ratliff, RN, BSN

  • Wound Care Registered Nurse
  • Goodyear, AZ
National Provider Identifier
1316258403
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN137221 Issued in AZ
Practice address
13657 W McDowell Rd
Suite 118
Goodyear, AZ 85395-2601
Phone
(602) 471-1924
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 RN137221 AZ
Wound Care Registered Nurse 163WW0000X RN137221 AZ Primary

Addresses

Primary practice location

13657 W McDowell Rd
Suite 118
Goodyear, AZ 85395-2601

Mailing address

13035 W Vista Paseo Dr
Litchfield Park, AZ 85340-5572
Phone (602) 471-1924

Other names 1

  • Mrs. Jenette Denise Slaughter Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN137221AZMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SMB Medical PLLC Current Accepting new patients
Lone Star Medical Associates PLLC Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJAEDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1316258403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 W VISTA PASEO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405572",
            "telephone_number": "602-471-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD",
            "address_2": "SUITE 118",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952601",
            "telephone_number": "602-471-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JENETTE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN137221",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "RN137221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENETTE",
            "last_name": "SLAUGHTER",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.