Individual provider Active NPI

Colson Darryle Slaven, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1538748272
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047539 Issued in TX
Practice address
3600 FM 1488 Rd Ste 200
Conroe, TX 77384-3867
Phone
(832) 447-1367
NPI assigned
Apr 7, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 1047539 TX Primary
Registered Nurse 163W00000X 913801 TX

Addresses

Primary practice location

3600 FM 1488 Rd Ste 200
Conroe, TX 77384-3867

Mailing address

1600 River Pointe Dr Apt 431
Conroe, TX 77304-2699
Phone (936) 355-5028

Other practice location 1

6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193
Phone (832) 831-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260604001880 TX Practitioner - Nurse Practitioner 6204307895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
913801TXMDRegistered Nurse
1047539TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Aug 8, 2021 Accepting new patients
Texas Children's Physician Group Past Accepting new patients

Locations

3600 FM 1488 Rd
Ste 200
Conroe, TX 77384
Phone (832) 447-1367

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

Organizations & group practices 2

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1538748272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 RIVER POINTE DR APT 431",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042699",
            "telephone_number": "936-355-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FM 1488 RD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843867",
            "telephone_number": "832-447-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6306 Fairbanks N Houston Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770405193",
            "country_code": "US",
            "telephone_number": "832-831-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "COLSON",
        "middle_name": "DARRYLE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047539",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "913801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.