Active NPI
Anne Elizabeth Slater, ATC
- Athletic Trainer
- Ada, MI
National Provider Identifier
1558754663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 7885 30TH St SE
Ada, MI 49301-9310 - Phone
- (616) 340-5766
- NPI assigned
- Mar 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MI | Primary |
Addresses
Primary practice location
7885 30TH St SE
Ada, MI 49301-9310
Mailing address
7885 30TH St SE
Ada, MI 49301-9310
Phone (616) 340-5766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1558754663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7885 30TH ST SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019310",
"telephone_number": "616-340-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7885 30TH ST SE",
"city": "ADA",
"state": "MI",
"postal_code": "493019310",
"telephone_number": "616-340-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.