Individual provider Active NPI

Ronda Slickman, NP

  • Advanced Practice Midwife
  • Phoenix, AZ
National Provider Identifier
1659801835
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP10120 Issued in AZ
Practice address
4747 N 7TH St Ste 150
Phoenix, AZ 85014-3677
Phone
(602) 792-0225
Fax
(602) 792-0244
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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 TAP10120 AZ
Advanced Practice Midwife 367A00000X AP10120 AZ Primary

Addresses

Primary practice location

4747 N 7TH St Ste 150
Phoenix, AZ 85014-3677

Mailing address

PO Box 748860
Atlanta, GA 30374-5317
Phone (813) 286-0033

Other practice location 1

765 S Cotton Ln Ste 210
Goodyear, AZ 85338-4640
Phone (602) 770-8571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170724003924 AZ Practitioner - Nurse Practitioner 7416227483 Reassigns benefits to 1 organization
I20211123000710 AZ Practitioner - Certified Nurse Midwife (CNM) 7416227483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

4747 N 7TH St
Suite 150
Phoenix, AZ 85014-3677
Phone (602) 240-2401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP10120AZMDFamily Nurse Practitioner
AP10120AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Arizona, LLC CurrentSince Dec 13, 2021 Accepting new patients
Agape Family Wellness CurrentSince Jan 2, 2024 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

3530 S Val Vista Dr
Ste 202
Gilbert, AZ 85297
Phone (480) 633-6868

765 S Cotton Ln
Ste 210
Goodyear, AZ 85338
Phone (602) 770-8571

2204 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 633-6868

640 W Maryland Ave
Ste 4
Phoenix, AZ 85013
Phone (602) 795-8122

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

Interoperability endpoints

  • Direct secure messaging: ronda.slickman@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: ronda.slickman.1@31100.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1659801835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143677",
            "telephone_number": "602-792-0225",
            "fax_number": "602-792-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 S Cotton Ln Ste 210",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853384640",
            "country_code": "US",
            "telephone_number": "602-770-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLICKMAN",
        "first_name": "RONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP10120",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP10120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.