Active NPI
James Allen Slayton
- Pediatric Registered Nurse
- Liverpool, NY
National Provider Identifier
1770210502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 372342
- Practice address
- Liverpool High School
4338 Wetzel Road
Liverpool, NY 13090 - Phone
- (315) 453-1500
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 372342 | NY | Primary |
Addresses
Primary practice location
Liverpool High School
4338 Wetzel Road
Liverpool, NY 13090
Mailing address
728 Maple Dr
Fayetteville, NY 13066-9752
Phone (443) 605-7456
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 |
|---|---|---|---|
| 372342 | NY | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1770210502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 MAPLE DR",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130669752",
"telephone_number": "443-605-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIVERPOOL HIGH SCHOOL",
"address_2": "4338 WETZEL ROAD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13090",
"telephone_number": "315-453-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYTON",
"first_name": "JAMES",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "372342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.