Amber Sade Slater

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L059436 Issued in AR

Practice address

209 S Lockard St
Blytheville, AR 72315-2541

Phone

(870) 763-2139

Fax

(870) 763-5056

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1376041855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4961",
            "fax_number": "870-972-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LOCKARD ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152541",
            "telephone_number": "870-763-2139",
            "fax_number": "870-763-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "AMBER",
        "middle_name": "SADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L059436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Silvia, AA
• Haley Sims, PLMSW
• Shemekia Sherelle Sims
• Derrick Singleton, LPC
• Margaret R. Singleton, M.D.
• SMC Regional Medical Center LLC
• Connie Smith
• Constance H Smith, M.D.
• Hilary Smith, MHPP
• Janice Smith

• Licensed Practical Nurse in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.