Active NPI
Theresa Marie Hoffman, PA
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1609281179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05224
- Practice address
- 2421 Silver Stream LN
Wilmington, NC 28401-7684 - Phone
- (910) 341-3300
- Fax
- (910) 251-2067
- NPI assigned
- Jun 24, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05224 | NC | Primary |
Addresses
Primary practice location
2421 Silver Stream LN
Wilmington, NC 28401-7684
Mailing address
1660 Fallen Leaf Lane
Unit a
Wilmington, NC 28403
Phone (480) 695-7795
Other names 1
- Ms. Theresa Marie Slanta
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05224 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bladen Healthcare LLC | Past | Accepting new patients | |
| Wilmington Health PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1609281179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 FALLEN LEAF LANE",
"address_2": "UNIT A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "480-695-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 SILVER STREAM LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017684",
"telephone_number": "910-341-3300",
"fax_number": "910-251-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "THERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "SLANTA",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.