Active NPI
Ann Arlene Slachta, PA
- Physician Assistant
- Killeen, TX
National Provider Identifier
1659433183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- DA111971
- Practice address
- Crdamc
Killeen, TX 76544 - Phone
- (254) 288-8052
- NPI assigned
- Dec 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | DA111971 | MO | Primary |
Addresses
Primary practice location
Crdamc
Killeen, TX 76544
Mailing address
100 Forest Park LN
Red Oak, TX 75154-4618
Phone (972) 576-8149
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA111971 | MO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659433183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FOREST PARK LN",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544618",
"telephone_number": "972-576-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CRDAMC",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLACHTA",
"first_name": "ANN",
"middle_name": "ARLENE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "DA111971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.