Misty Dawn Slater PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISTY DAWN SLATER PLLC

Practice address

2330 Thornton Taylor Pkwy
Fayetteville, TN 37334-3672

Phone

(931) 227-4984

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Dawn Casey

Title

Office Manager

Phone

(931) 227-4984

Specialties & licenses 1

Addresses

Other names 1

• Misty Slater MD Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Jean Gordon, CRNP

  • Family Nurse Practitioner
  • Fayetteville, TN
  • NPI 1740937325
  NPD (past)
• Sallyann G Storer, DNP, FNP-BC

  • Nurse Practitioner
  • Fayetteville, TN
  • NPI 1457329302
  NPD (past)
• Sarah Moon Thelen, MD

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1952573289
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1861986499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373340038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 THORNTON TAYLOR PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343672",
            "telephone_number": "931-227-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY DAWN SLATER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-227-4984"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Misty Slater MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merrell Foot Clinic PC
• Merrell Foot Clinic, PC
• Michael R Compton D.C.,P.C.
• Kimberly Smith Mills, LPTA
• Linda Sue Mills, LCSW
• Karen Marguerite Mitchell
• Monks Imaging LLC
• Philip M Monks, RT
• Cynthia Kay Moorehead, RN
• Susanne Beth Moran, B.S

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.