Jacob Louis Slann

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

303469 Issued in TX

Practice address

408 College Ave
Clemson, SC 29631-1441

Phone

(864) 650-0804

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1851900047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311441",
            "telephone_number": "864-650-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 COLLEGE AVE",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311441",
            "telephone_number": "864-650-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLANN",
        "first_name": "JACOB",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "303469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "ZCX833239112903",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jslann@clemson.edu",
            "affiliation": "N",
            "address_1": "408 College Ave",
            "city": "Clemson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296311441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shazia Siddiqui, MD
• Robert N. Sieffert, O.D.
• Jocelyn B Sikes, APRN
• Elizabeth Fay Simpson, MOT, OTR/L
• Prasiksha Sitaula, MD
• James Ryan Small, ATC, CSCS
• Lisa Clark Smith, M.A. CCC/SLP
• Reagan Nicole Smith
• Nardine Smoak, MD
• Kirsten Solberg Snape, MPT

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Clemson, SC
• Providers in Clemson, SC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.