Individual provider Active NPI

Vernedia Slaughter, ANP

  • Family Nurse Practitioner
  • Hammond, IN
National Provider Identifier
1932483906
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009117 Issued in IL
Practice address
1828 165TH St Ste a
Hammond, IN 46320-2823
Phone
(219) 763-8112
Fax
(219) 884-2547
NPI assigned
Oct 7, 2011
Last updated
Sep 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009117 IL Primary

Addresses

Primary practice location

1828 165TH St Ste a
Hammond, IN 46320-2823

Mailing address

PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120105000909 IL Practitioner - Nurse Practitioner 8022284470 Reassigns benefits to 1 organization
I20221011000819 IN Practitioner - Nurse Practitioner 8022284470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Beloved Community Family Wellness Center CurrentSince Oct 15, 2014 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Northshore Health Centers, Inc. Family CurrentSince Sep 12, 2022 Accepting new patients
Beloved Community Family Wellness Center CurrentSince Oct 15, 2014 Accepting new patients
Northshore Health Centers, Inc. Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629

6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629

1828 165th St
Ste A
Hammond, IN 46320

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vernedia.slaughter.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1932483906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463689230",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 165TH ST STE A",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202823",
            "telephone_number": "219-763-8112",
            "fax_number": "219-884-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "VERNEDIA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.