Active NPI
Martha Jill Slaven, APRN-C
- Family Nurse Practitioner
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9R3H0 | Other | FL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005036 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Neurological Clinic | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.