Conrad Slater, LCO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

61272281 Issued in WA

Practice address

3508 12TH Ave NE
Olympia, WA 98506-5218

Phone

(360) 459-1099

NPI assigned

Aug 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1851028518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BROADWAY APT 510",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024003",
            "telephone_number": "540-931-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065218",
            "telephone_number": "360-459-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "CONRAD",
        "credential": "LCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "61272281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Jonathan Slack, MD
• David P Slack, MD
• Shannon Slack
• Nancy Beth Sladek, P.T.
• Rosann V Slagel, LMT
• Sloan Family Chiropractic, P.S.
• David Sloan, D.C.
• Heather Jo Sloan, D.C.
• Jacob Sloan, LMHC
• Tasha Lyn Sloan, MSW, LICSW

• Orthotist in Olympia, WA
• Providers in Olympia, WA by specialty
• Orthotist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.