Alyssa Ann Slater, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11020999 Issued in FL

Practice address

413 Laguna Mill Dr
Ruskin, FL 33570-4940

Phone

(772) 204-4879

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chaim Gitelis DO PCGroup PAC ID 6507090396, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyssa.slater.1@29290.direct.athenahealth.com

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.

• Chaim Gitelis DO PC

  • Internal Medicine Physician
  • Orangeburg, NY
  • NPI 1154763894

  FL

  Medicare reassignment Care Compare group NPD
• Pophealthcare, LLC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1164943957

  Family

  Medicare reassignment NPD
• Vitalcare Medical Services PA

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1871470179

  FL

  Medicare reassignment NPD
• Greater Tampa Bay Physician Specialists, LLC

  • Surgery Physician
  • Tampa, FL
  • NPI 1528492287
  NPD
• Pophealthcare, LLC

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1326617150
  NPD
• Mac Wound Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Orangeburg, NY
  • NPI 1821875543
  NPD (past)
• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1780312264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LAGUNA MILL DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704940",
            "telephone_number": "772-204-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LAGUNA MILL DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335704940",
            "telephone_number": "772-204-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Living IV Sun City, LLC
• Amy Fisher Shea, AC, DOM
• Karla Shuman, ISW, MSW, NLP, CH
• Michael C Siler
• Akshaya Kannan Singh, MD
• Youn Sun C Smith, ARNP
• Sohlo Care Services LLC.
• Solaris Ortho, LLC
• Sonus-USA, Inc.
• Priscilla G Sosa, DMD

• Family Nurse Practitioner in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.