Individual provider Active NPI

Lareshia L Slade, ARNP

  • Pediatric Nurse Practitioner
  • Largo, MD
National Provider Identifier
1659386415
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9208578 Issued in FL
Practice address
1300 Caraway CT
106
Largo, MD 20774-5461
Phone
(301) 322-9500
Fax
(301) 322-2227
NPI assigned
Jul 30, 2006
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9208578 FL Primary

Addresses

Primary practice location

1300 Caraway CT
106
Largo, MD 20774-5461

Mailing address

PO Box 6411
Upper Marlboro, MD 20792-6411
Phone (301) 322-9500

Other identifiers 1

IdentifierTypeStateIssuer
306946000MedicaidFL

Other names 1

  • Mrs. Lareshia L Slade Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9208578FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children First, LLC PastSince Nov 8, 2025 Accepting new patients
Children's Hospital Past Accepting new patients
Children First, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1659386415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6411",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207926411",
            "telephone_number": "301-322-9500",
            "fax_number": "301-322-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CARAWAY CT",
            "address_2": "106",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745461",
            "telephone_number": "301-322-9500",
            "fax_number": "301-322-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "LARESHIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9208578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306946000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARESHIA",
            "last_name": "SLADE",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.