Active NPI
Talley E Slate, APRN
- Family Nurse Practitioner
- Durham, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 066113-23
- Practice address
- 36 Madbury Rd
Durham, NH 03824-2021 - Phone
- (603) 868-5080
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 066113-23 | NH | Primary |
Addresses
Primary practice location
36 Madbury Rd
Durham, NH 03824-2021
Mailing address
PO Box 412503
Boston, MA 02241-1639
Other practice location 1
7 Works Way
Somersworth, NH 03878-1639
Phone (603) 692-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113557 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
36 Madbury Rd
Durham, NH 03824-2021
Phone (603) 868-5080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066113-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
112 Sanford Rd
Wells, ME 04090
Phone (207) 641-8100
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 516-4232
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
789 Central Ave
Lowr
Dover, NH 03820
36 Madbury Rd
Durham, NH 03824
Phone (603) 659-0901
65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300
85 Main St
Somersworth, NH 03878
Phone (603) 692-5552
Interoperability endpoints
- slate.talley.wdh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rochester, NH
- NPI 1508829045
-
dba Portsmouth Regional Hospital
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
dba Wentworth Home Care and Hospice, an Amedisys Partner
- Home Health Agency
- Somersworth, NH
- NPI 1568436194
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1609354224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412503",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 MADBURY RD",
"city": "DURHAM",
"state": "NH",
"postal_code": "038242021",
"telephone_number": "603-868-5080"
}
],
"practiceLocations": [
{
"address_1": "7 Works Way",
"address_purpose": "LOCATION",
"city": "Somersworth",
"state": "NH",
"postal_code": "038781639",
"country_code": "US",
"telephone_number": "603-692-4018",
"fax_number": "833-944-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLATE",
"first_name": "TALLEY",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "066113-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113557",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.