Active NPI
Colleen M Slate, NP
- Family Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168258
- Practice address
- 2331 Franklin Rd SW
Roanoke, VA 24014-1111 - Phone
- (540) 224-5170
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001134247 | VA | |
| Family Nurse Practitioner | 363LF0000X | 149755 | AK | |
| Family Nurse Practitioner | 363LF0000X | 0024168258 | VA | Primary |
Addresses
Primary practice location
2331 Franklin Rd SW
Roanoke, VA 24014-1111
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Other practice location 1
2900 Lamb Cir Ste L-760
Christiansburg, VA 24073-6344
Phone (540) 731-2436 ext. 2582
Other practice location 2
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 729-3300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922246503 | Medicaid | VA | |
| 541586601118 | Other | VA | TRICARE/CHAMPUS |
| P01051629 | Other | VA | RAILROAD MEDICARE |
| 1922246503 | Other | VA | VA PREMIER |
| 1922246503 | Other | VA | AETNA |
| 1922246503 | Other | VA | ANTHEM MEDIGAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone (540) 224-5170
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
Hospital & facility affiliations
- Carilion Medical Center
- Carilion Franklin Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001134247 | VA | MD | Registered Nurse |
| 149755 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Wildwood Emergency Group, LLC | Current | Accepting new patients | |
| Kodiak Area Native Association | Current | Accepting new patients | |
| Municipality of Skagway | Family | Current | Accepting new patients |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Locations
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
209 Moller Ave
Ste 100
Sitka, AK 99835
Phone (907) 747-1771
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
Interoperability endpoints
- colleens@direct.eatribes.net
- cslate7402@direct.carilionclinic.org
Organizations & group practices 18
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Emergency Medicine Physician
- Blacksburg, VA
- NPI 1013409721
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Critical Access Hospital
- Lexington, VA
- NPI 1518950484
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
-
- Community Health Clinic/Center
- Kodiak, AK
- NPI 1679514236
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1922246503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141111",
"telephone_number": "540-224-5170"
}
],
"practiceLocations": [
{
"address_1": "2900 Lamb Cir Ste L-760",
"address_purpose": "LOCATION",
"city": "Christiansburg",
"state": "VA",
"postal_code": "240736344",
"country_code": "US",
"telephone_number": "540-731-2436 x2582",
"fax_number": "540-731-2439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4320 Diplomacy Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085925",
"country_code": "US",
"telephone_number": "907-729-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLATE",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001134247",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "149755",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922246503",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "541586601118",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01051629",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "1922246503",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1922246503",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDIGAP",
"identifier": "1922246503",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.