Individual provider Active NPI

Martha Jill Slaven, APRN-C

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1841689007
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005036 Issued in FL
Practice address
1401 Centerville Rd Ste 600
Tallahassee, FL 32308
Phone
(850) 878-8121
Fax
(850) 942-6515
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 APRN11005036 FL Primary

Addresses

Primary practice location

1401 Centerville Rd Ste 600
Tallahassee, FL 32308

Mailing address

1401 Centerville Rd Suite 300
Tallahassee, FL 32308-4675
Phone (850) 878-8121

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 268-5620

Other identifiers 1

IdentifierTypeStateIssuer
9R3H0OtherFLBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200102000193 FL Practitioner - Nurse Practitioner 2567788185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Neurological Clinic 36 clinicians

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005036FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Neurological Clinic CurrentSince Jan 2, 2020 Accepting new patients

Locations

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

1401 Centerville Rd
Ste 600
Tallahassee, FL 32308
Phone (850) 878-8121

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1841689007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-878-8121",
            "fax_number": "850-942-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 600",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-8121",
            "fax_number": "850-942-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-268-5620",
            "fax_number": "601-268-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "MARTHA",
        "middle_name": "JILL",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9R3H0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.