Individual provider Active NPI

Vanessa Elene Slots, MD

  • Pediatrics Physician
  • Woodbury, MN
National Provider Identifier
1740506203
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
72987 Issued in MN
Practice address
9900 Tamarack Rd
Woodbury, MN 55125-3609
Phone
(651) 471-5800
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14786 NV
Pediatrics Physician 208000000X 72987 MN Primary

Addresses

Primary practice location

9900 Tamarack Rd
Woodbury, MN 55125-3609

Mailing address

9900 Tamarack Rd
Woodbury, MN 55125-3609
Phone (651) 471-5800

Other practice location 1

15 McCabe Dr Ste 100
Reno, NV 89511-4815
Phone (775) 982-5000

Other identifiers 2

IdentifierTypeStateIssuer
1740506203MedicaidNV
12516011OtherCAQH

Other names 1

  • Vanessa Elene Lesher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519002590 MN Practitioner - Pediatric Medicine 6406829217 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince May 15, 2023 Accepting new patients
Fairview Express Care CurrentSince May 15, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Institute CurrentSince May 15, 2023 Accepting new patients
Fairview Health Services CurrentSince May 15, 2023 Accepting new patients
Fairview Express Care CurrentSince May 15, 2023 Accepting new patients
Fairview Health Services Pediatrics CurrentSince May 15, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince May 15, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince May 15, 2023 Accepting new patients
Healtheast St. John'S Hospital Past Accepting new patients
Healtheast Woodwinds Hospital Past Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

9900 Tamarack Rd
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: vslots779850@fairview.direct-ci.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1740506203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TAMARACK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253609",
            "telephone_number": "651-471-5800",
            "fax_number": "651-471-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TAMARACK RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253609",
            "telephone_number": "651-471-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 McCabe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895114815",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOTS",
        "first_name": "VANESSA",
        "middle_name": "ELENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "14786",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "72987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740506203",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12516011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "LESHER",
            "middle_name": "ELENE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.