Active NPI
Cheyanne Black-Slaughter
- Home Health Aide
- Portland, OR
National Provider Identifier
1730848904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 500797464
- Practice address
- 6775 SW 26TH Ave Unit B
Portland, OR 97219-2193 - Phone
- (971) 353-3207
- NPI assigned
- Dec 14, 2021
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 500797464 | OR | Primary |
Addresses
Primary practice location
6775 SW 26TH Ave Unit B
Portland, OR 97219-2193
Mailing address
6775 SW 26TH Ave Unit B
Portland, OR 97219-2193
Phone (971) 353-3207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855162 | Medicaid | OR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500797464 | OR | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1730848904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6775 SW 26TH AVE UNIT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192193",
"telephone_number": "971-353-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6775 SW 26TH AVE UNIT B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192193",
"telephone_number": "971-353-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK-SLAUGHTER",
"first_name": "CHEYANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OR",
"license": "500797464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "855162",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.