Individual provider Active NPI

Tanya Nicole Slayter, AG-ACNP

  • Acute Care Nurse Practitioner
  • Miramar Beach, FL
National Provider Identifier
1316410236
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11009406 Issued in FL
Practice address
7800 US Highway 98 W
Miramar Beach, FL 32550-7228
Phone
(850) 416-7619
Fax
(850) 416-7753
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11009406 FL Primary

Addresses

Primary practice location

7800 US Highway 98 W
Miramar Beach, FL 32550-7228

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190412000491 LA Practitioner - Nurse Practitioner 4284975681 Reassigns benefits to 1 organization
I20221204000000 FL Practitioner - Nurse Practitioner 4284975681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009406FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Nov 22, 2022 Accepting new patients
WK Pierremont Cardiology CurrentSince Mar 1, 2019 Accepting new patients
Gulf Coast Infectious Diseases Inc CurrentSince Dec 29, 2025 Accepting new patients
Gulf Coast Infectious Disease Past Accepting new patients

Locations

7720 US Highway 98 W
Ste 140
Miramar Beach, FL 32550
Phone (850) 278-3662

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

8354 N Davis Hwy
Pensacola, FL 32514
Phone (850) 450-4865

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

1811 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 212-3858

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1316410236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 US HIGHWAY 98 W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507228",
            "telephone_number": "850-416-7619",
            "fax_number": "850-416-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTER",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11009406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.