Kelley Elizabeth Slate, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144988 Issued in TX

Practice address

2217 S Sycamore St Ste 101
Palestine, TX 75801-4785

Phone

(903) 729-3993

Fax

(903) 729-6558

NPI assigned

Feb 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Associates of Palestine, PAGroup PAC ID 5496704389, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Palestine, TX, CCN 458433
• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Internal Medicine Associates of Palestine, PA

  • Internal Medicine Physician
  • Palestine, TX
  • NPI 1932259603
  Medicare reassignment Care Compare group NPD

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

• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• Personal Home Healthcare Agency LLC

  • Home Health Agency
  • Palestine, TX
  • NPI 1831194018
  Care Compare affiliation

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1629601810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST STE 101",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014785",
            "telephone_number": "903-729-3993",
            "fax_number": "903-729-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST STE 101",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014785",
            "telephone_number": "903-729-3993",
            "fax_number": "903-729-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lace Short, FNP-C
• Rebekah Sharlene Shultz, RN, CNM
• Janice Lea Sikes, D.O.
• Adalid Sis, LPC
• Christina Slate, PHARM D
• Jaime Renea Sleziak, FNP
• Adrianne Patrice Smith, MD
• Kelly M Smith, M.ED, LPC-S
• Michael Smith, D.O.
• Sharon Renee Smith

• Family Nurse Practitioner in Palestine, TX
• Providers in Palestine, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.

Verify at the official NPI Registry.