Individual provider Active NPI

Jenifer Slayton, FNP

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1609699263
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177376 Issued in TX
Practice address
501 Sandy LN
Flower Mound, TX 75022-4576
Phone
(469) 867-6651
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177376 TX Primary

Addresses

Primary practice location

501 Sandy LN
Flower Mound, TX 75022-4576

Mailing address

501 Sandy LN
Flower Mound, TX 75022-4576
Phone (469) 867-6651

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
I20250326000022 TX Practitioner - Nurse Practitioner 5092238527 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA CurrentSince Feb 10, 2025 Accepting new patients

Locations

3417 Gaston Ave
Ste 760
Dallas, TX 75246
Phone (214) 369-1907

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1609699263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SANDY LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224576",
            "telephone_number": "469-867-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SANDY LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224576",
            "telephone_number": "469-867-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTON",
        "first_name": "JENIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.