Active NPI
Karen Slater, MD.
- Child & Adolescent Psychiatry Physician
- Estero, FL
National Provider Identifier
1912039231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME 69932
- Practice address
- 10600 Chevrolet Way
Suite 202
Estero, FL 33928-4421 - Phone
- (239) 287-0576
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 69932 | FL | Primary |
Addresses
Primary practice location
10600 Chevrolet Way
Suite 202
Estero, FL 33928-4421
Mailing address
10600 Chevrolet Way
Suite 202
Estero, FL 33928-4421
Phone (239) 287-0576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28615 | Other | FL | BLUE CROSS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 69932 | FL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1912039231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 CHEVROLET WAY",
"address_2": "SUITE 202",
"city": "ESTERO",
"state": "FL",
"postal_code": "339284421",
"telephone_number": "239-287-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 CHEVROLET WAY",
"address_2": "SUITE 202",
"city": "ESTERO",
"state": "FL",
"postal_code": "339284421",
"telephone_number": "239-287-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 69932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "28615",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
- Kaylie Lynne Siedow
- Sievers and Company, LLC (Teresa A. Siever, MD)
- Michael Aaron Sills, D.C.
- Dante Simmons, PHARMD
- Scott W Sitterson
- Sleep & Apnea Institute of Florida PLLC
- Sleep Disorder Center of Estero, LLC
- Sleep Medicine Specialists of Southwest FL P.a.
- Gesenia S Sloan-Pena, MA
- Smita Sunrise OT LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.