Greta Slabach, OTR

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

U1-0001748 Issued in DE

Practice address

205 Southern Cross Dr
Middlebury, IN 46540

Phone

(574) 370-1676

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1932648839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTHERN CROSS DR",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTHERN CROSS DR",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "46540",
            "telephone_number": "574-370-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABACH",
        "first_name": "GRETA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "DE",
            "license": "U1-0001748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Fay Sanderford, D.C.
• Herb Schneider, D.C.
• Shobhit Sharma, PA
• Emily Elizabeth Shaver, FNP-BC
• Kimberly L Skupski, FNP-BC
• Julie Renee Snyder, RPH
• Jonathan Spero, MD
• Paxton Starrett
• Pamela Jo Stearns, REGISTERED NURSE
• Carla Sue Strater, FNP-BC

• Prevention Professional in Middlebury, IN
• Providers in Middlebury, IN by specialty
• Prevention Professional in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.