Individual provider Active NPI

Patricia K Sladky, CRNA

  • Certified Registered Nurse Anesthetist
  • West Des Moines, IA
National Provider Identifier
1811960701
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
045290 Issued in IA
Practice address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone
(515) 221-9222
Fax
(515) 221-0575
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 045290 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218

Mailing address

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone (515) 221-9222

Other identifiers 1

IdentifierTypeStateIssuer
50171OtherIAWELLMARK GROUP #

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

State licenses

LicenseStateTypeSpecialty
045290IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1811960701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADKY",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "045290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK GROUP #",
            "identifier": "50171",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.