Individual provider Active NPI

Kristine Marie Slatkavitz, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1841571338
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1044948 Issued in DC
Practice address
5100 Wisconsin Ave NW Ste 401
Washington, DC 20016-4131
Phone
(202) 527-7500
Fax
(202) 527-7400
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1044948 DC Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW Ste 401
Washington, DC 20016-4131

Mailing address

5100 Wisconsin Ave NW Ste 401
Washington, DC 20016-4131
Phone (202) 527-7500

Other identifiers 1

IdentifierTypeStateIssuer
110099062AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20171003004210 DC Practitioner - Nurse Practitioner 1850614496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCRM ClinicGroup PAC ID 7810207511, 4 clinicians

Practice addresses (Care Compare)

5100 Wisconsin Ave NW
Suite 401
Washington, DC 20016-4131
Phone (202) 527-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1044948DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCRM Clinic CurrentSince Jul 31, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Boston University Dermatology, Inc. Past Accepting new patients

Locations

5100 Wisconsin Ave NW
Ste 401
Washington, DC 20016
Phone (202) 527-7400

Interoperability endpoints

  • Direct secure messaging: kristine.slatkavitz.1@12036.direct.athenahealth.com

Organizations & group practices 3

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841571338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164131",
            "telephone_number": "202-527-7500",
            "fax_number": "202-527-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW STE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164131",
            "telephone_number": "202-527-7500",
            "fax_number": "202-527-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATKAVITZ",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1044948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099062A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.