Individual provider Active NPI

Nicole Michele Slade, ARNP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1720535453
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP 60693815 Issued in WA
Practice address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Phone
(415) 658-6791
Fax
(415) 252-7176
NPI assigned
Sep 11, 2016
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1194363 TX
Nurse Practitioner 363L00000X 5011018 NC
Nurse Practitioner 363L00000X AP 60693815 WA Primary
Nurse Practitioner 363L00000X RN10004927 MA
Nurse Practitioner 363L00000X 329375 AZ
Nurse Practitioner 363L00000X C-APN.0102104-C-NP CO

Addresses

Primary practice location

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628

Mailing address

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MO, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161213002488 WA Practitioner - Nurse Practitioner 0244510014 Reassigns benefits to 1 organization
I20191031001310 MO Practitioner - Nurse Practitioner 0244510014 Reassigns benefits to 1 organization
I20230131000791 FL Practitioner - Nurse Practitioner 0244510014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329375AZMDNurse Practitioner
C-APN.0102104-C-NPCOMDNurse Practitioner
RN10004927MAMDNurse Practitioner
5011018NCMDNurse Practitioner
1194363TXMDNurse Practitioner
AP 60693815WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical, LLC CurrentSince Oct 2, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 16, 2022 Accepting new patients
Carbon Health Medical Group of Kansas PA CurrentSince Dec 1, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Sep 16, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Pinnicale Pain Center PastSince Oct 26, 2016 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

2613 S Main St
Ste D
Joplin, MO 64804
Phone (417) 553-7920

8600 Ward Pkwy
Ste 1018
Kansas City, MO 64114
Phone (816) 281-5397

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1720535453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "telephone_number": "415-658-6791",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "NICOLE",
        "middle_name": "MICHELE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1194363",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011018",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP 60693815",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10004927",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "329375",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0102104-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.