Active NPI
Hannah Marie Slaughter, APRN
- Pediatric Nurse Practitioner
- Johnston, IA
National Provider Identifier
1508288275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C124818
- Practice address
- 5406 Merle Hay Road
Childserve Center
Johnston, IA 50131 - Phone
- (515) 727-8750
- Fax
- (515) 727-8757
- NPI assigned
- Jan 14, 2014
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209010870 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | C124818 | IA | Primary |
Addresses
Primary practice location
5406 Merle Hay Road
Childserve Center
Johnston, IA 50131
Mailing address
5406 Merle Hay Road
Childserve Center
Johnston, IA 50131
Phone (515) 727-8750
Other names 1
- Hannah Marie Jepson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010870 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Childserve Clinic Inc | Current | Accepting new patients |
Locations
5406 Merle Hay Rd
Johnston, IA 50131
Phone (515) 727-8750
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, 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": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1508288275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5406 MERLE HAY ROAD",
"address_2": "CHILDSERVE CENTER",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "50131",
"telephone_number": "515-727-8750",
"fax_number": "515-727-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 MERLE HAY ROAD",
"address_2": "CHILDSERVE CENTER",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "50131",
"telephone_number": "515-727-8750",
"fax_number": "515-727-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209010870",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C124818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "JEPSON",
"middle_name": "MARIE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.