Individual provider Active NPI

Roger Beck Slice, RN BSN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1861964488
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN181505 Issued in AZ
Practice address
6331 N. 39TH Ave.
Phoenix, AZ 85019
Phone
(602) 841-7445
NPI assigned
Dec 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN181505 AZ Primary

Addresses

Primary practice location

6331 N. 39TH Ave.
Phoenix, AZ 85019

Mailing address

4510 N 37TH Ave
Phoenix, AZ 85019
Phone (602) 336-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN181505AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Maricopa Past Accepting new patients

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1861964488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 N 37TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-336-2990",
            "fax_number": "602-336-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 N. 39TH AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-841-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLICE",
        "first_name": "ROGER",
        "middle_name": "BECK",
        "name_prefix": "Mr.",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN181505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.