Active NPI
Catherine S Slade
- Family Medicine Physician
- West Reading, PA
National Provider Identifier
1740362102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UP004535G
- Practice address
- 420 S 5TH Ave
West Reading, PA 19611-2143 - Phone
- (484) 628-4075
- NPI assigned
- Oct 19, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UP004535G | PA | Primary |
Addresses
Primary practice location
420 S 5TH Ave
West Reading, PA 19611-2143
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799
Other practice location 1
6th Ave and Spruce Street
West Reading, PA 19611-1428
Phone (610) 988-4075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102495296 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1740362102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-0799",
"fax_number": "484-334-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S 5TH AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196112143",
"telephone_number": "484-628-4075"
}
],
"practiceLocations": [
{
"address_1": "6th Ave and Spruce Street",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "196111428",
"country_code": "US",
"telephone_number": "610-988-4075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLADE",
"first_name": "CATHERINE",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "UP004535G",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102495296",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.