Active NPI
Shannon Michelle Slocum, N.P.
- Family Nurse Practitioner
- Irvine, CA
National Provider Identifier
1346526951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21355
- Practice address
- 630 Roosevelt
Irvine, CA 92620-3621 - Phone
- (949) 390-7308
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21355 | CA | Primary |
Addresses
Primary practice location
630 Roosevelt
Irvine, CA 92620-3621
Mailing address
27202 Vinca CT
Murrieta, CA 92562-8003
Phone (909) 747-5118
Other practice location 1
1325 N Rose Dr
#102
Placentia, CA 92870-3840
Phone (562) 862-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 Roosevelt
Suite a
Irvine, CA 92620-3621
Phone (888) 725-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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.
-
- Home Health Agency
- Irvine, CA
- NPI 1659543957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1346526951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27202 VINCA CT",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925628003",
"telephone_number": "909-747-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 ROOSEVELT",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203621",
"telephone_number": "949-390-7308"
}
],
"practiceLocations": [
{
"address_1": "1325 N Rose Dr",
"address_2": "#102",
"address_purpose": "LOCATION",
"city": "Placentia",
"state": "CA",
"postal_code": "928703840",
"country_code": "US",
"telephone_number": "562-862-3684",
"fax_number": "562-741-4479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOCUM",
"first_name": "SHANNON",
"middle_name": "MICHELLE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.