Active NPI
Shane Slone, APRN-NP
- Nurse Practitioner
- Lexington, KY
National Provider Identifier
1952847733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011036
- Practice address
- 211 Fountain CT Ste 210
Lexington, KY 40509-2696 - Phone
- (859) 629-7145
- Fax
- (859) 276-5939
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3011036 | KY | |
| Nurse Practitioner | 363L00000X | 3011036 | KY | Primary |
Addresses
Primary practice location
211 Fountain CT Ste 210
Lexington, KY 40509-2696
Mailing address
PO Box 936
London, KY 40743-0936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100450520 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011036 | KY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1952847733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 FOUNTAIN CT STE 210",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092696",
"telephone_number": "859-629-7145",
"fax_number": "859-276-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLONE",
"first_name": "SHANE",
"credential": "APRN-NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-17",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3011036",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100450520",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.