Individual provider Active NPI

Andria Elizabeth Slater, FNP

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1538585252
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704295810 Issued in MI
Practice address
660 Cornell Ave
East Lansing, MI 48823-3609
Phone
(760) 805-1334
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704295810 MI Primary
Family Nurse Practitioner 363LF0000X 95000229 CA

Addresses

Primary practice location

660 Cornell Ave
East Lansing, MI 48823-3609

Mailing address

660 Cornell Ave
East Lansing, MI 48823-3609
Phone (760) 805-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001542 MI Practitioner - Nurse Practitioner 1658676937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2682 E Grand River Ave
Sparrow Urgent Care East Lansing
East Lansing, MI 48823-5608
Phone (517) 333-6562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000229CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Mar 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1538585252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CORNELL AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233609",
            "telephone_number": "760-805-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CORNELL AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233609",
            "telephone_number": "760-805-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "ANDRIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704295810",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.