Active NPI
Monica Elizabeth Dugan, CNP,RN, BSN, CCRN
- Acute Care Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1790073179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 14496
- Practice address
- 3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288 - Phone
- (513) 221-1100
- Fax
- (513) 684-4501
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R193147 | MD | |
| Acute Care Nurse Practitioner | 363LA2100X | 3011158 | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 14496 | OH | Primary |
Addresses
Primary practice location
3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Mailing address
PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089934 | Medicaid | OH |
Other names 1
- Monica Elizabeth Slack
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
- Bachelor on Science - Nursing, Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011158 | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Cardiovascular Associates LLC | Acute Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1497901458
Acute Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1790073179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643398",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452643398",
"telephone_number": "513-221-1100",
"fax_number": "513-684-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EDWARDS RD STE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091288",
"telephone_number": "513-221-1100",
"fax_number": "513-684-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "MONICA",
"middle_name": "ELIZABETH",
"credential": "CNP,RN, BSN, CCRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MD",
"license": "R193147",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3011158",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "14496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089934",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "SLACK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.