Kallen Blankenburg Slavens, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP000859 Issued in GA

Practice address

29 Tiger TRL
Ringgold, GA 30736-2024

Phone

(706) 935-2254

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1881323673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TIGER TRL",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362024",
            "telephone_number": "706-935-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVENS",
        "first_name": "KALLEN",
        "middle_name": "BLANKENBURG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "216119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Simmons, CADCII
• Erin Simpson, NP-C
• Lauren Sisemore, LPN
• Kasey Sissom, FNP
• Erina Skotsen, PHARMD
• Lorietta Smartt-Hubbard
• Laura Beth Smartt, RDN
• Melissa Smeltzer, FNP-C
• Amanda L Smidt, FNP-C
• Adrienne Smith

• Family Nurse Practitioner in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.