NPIMap

Individual provider Active NPI

Vanessa K. Sluder, NP

  • Family Nurse Practitioner
  • Senatobia, MS
National Provider Identifier
1629301106
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R868378 Issued in MS
Practice address
2778 Highway 51 S
Senatobia, MS 38668-9403
Phone
(662) 429-4988
Fax
(662) 429-4966
NPI assigned
Sep 15, 2009
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 R868378 MS Primary
Primary Care Nurse Practitioner 363LP2300X R868378 MS

Addresses

Primary practice location

2778 Highway 51 S
Senatobia, MS 38668-9403

Mailing address

2778 Highway 51 S
Senatobia, MS 38668-9403
Phone (662) 429-4988

Other identifiers 1

IdentifierTypeStateIssuer
004073558MedicaidMS

Other names 1

  • Vanessa K. Farrior Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000390 MS Practitioner - Nurse Practitioner 7517004039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Family Medical Clinic LLCGroup PAC ID 9931107018, 2 clinicians

Practice addresses (Care Compare)

2778 Hwy 51 S
Senatobia, MS 38668-9403
Phone 66242949883

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R868378MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Family Medical Clinic, LLC Family CurrentSince Mar 30, 2013 Accepting new patients
Mid-South Cardiovascular Center, LLC Past Accepting new patients
Mississippi PHS PC Past Accepting new patients

Locations

2670 McIngvale Rd
Ste H
Hernando, MS 38632
Phone (662) 429-4988

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22832/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vanessa.sluder.1@22832.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1629301106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386689403",
            "telephone_number": "662-429-4988",
            "fax_number": "662-429-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386689403",
            "telephone_number": "662-429-4988",
            "fax_number": "662-429-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUDER",
        "first_name": "VANESSA",
        "middle_name": "K.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868378",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R868378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004073558",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "FARRIOR",
            "middle_name": "K.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Senatobia, MS

Sources for this page

Verify at the official NPI Registry.