Active NPI
Dorothy Joan Slayter, RN BSN RNFA
- Surgery Physician
- Modesto, CA
National Provider Identifier
1659321172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 161994
- Practice address
- 2632 Winters Drive
Modesto, CA 95355 - Phone
- (209) 571-8330
- Fax
- (209) 491-7184
- NPI assigned
- May 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 161994 | CA | |
| Surgery Physician | 208600000X | 161994 | CA | Primary |
Addresses
Primary practice location
2632 Winters Drive
Modesto, CA 95355
Mailing address
2632 Winters Drive
Modesto, CA 95355
Phone (209) 575-3545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161994 | Other | CA | STATE LICENSE NUMBER |
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161994 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1659321172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2632 WINTERS DRIVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-575-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 WINTERS DRIVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-571-8330",
"fax_number": "209-491-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYTER",
"first_name": "DOROTHY",
"middle_name": "JOAN",
"credential": "RN BSN RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "161994",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "161994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "161994",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.