Stephanie Davis Slater Diaz, CRNA

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN2329699 Issued in MA

Practice address

1153 Centre St
Jamaica Plain, MA 02130-3446

Phone

(617) 983-7000

NPI assigned

Jun 4, 2021

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Davis Slater Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winchester Anesthesia Associates, IncGroup PAC ID 7315977196, 64 clinicians

Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Hospital Hospital, Winchester, MA, CCN 220105
• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment Care Compare group NPD
• Winchester Anesthesia Associates, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Winchester, MA
  • NPI 1972626117
  Medicare reassignment Care Compare group NPD
• Gbaa Holdings, PLLC

  dba Greater Boston Anesthesia Associates

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592
  Medicare reassignment NPD
• Winchester Anesthesia Associates 2 Inc

  • Anesthesiology Physician
  • Winchester, MA
  • NPI 1427599588
  Medicare reassignment NPD
• Brigham and Womens Physicians Organization Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1265464598
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brigham and Women's Faulkner Hospital Inc

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  Care Compare affiliation
• Brigham and Women's Faulkner Hospital Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  Care Compare affiliation
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1790352243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 FRANKLIN ST APT 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392923",
            "telephone_number": "845-901-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "STEPHANIE",
        "middle_name": "DAVIS SLATER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "RN2329699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SLATER",
            "middle_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dhirendra S Bana, MD, PC
• Halima Sadia Diallo
• Jennifer Diaz
• Jocelyn Diaz, LMT
• Sonia Diaz, MD
• Susana Vanessa Diaz, MSW INTERN
• Katherine Augusta Dibari
• Maria Dievler, RD
• Ellena A Diggins, PAC
• Jo-Anne Dillman, NP

• Critical Care Medicine Registered Nurse in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Critical Care Medicine Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.