Leslie Rachel Slade, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

509 Issued in CA

Practice address

423 Lomitas LN
Santa Rosa, CA 95404-2158

Phone

(831) 252-1598

NPI assigned

Dec 8, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1962917203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 LOMITAS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042158",
            "telephone_number": "831-252-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 LOMITAS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042158",
            "telephone_number": "831-252-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "LESLIE",
        "middle_name": "RACHEL",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tima Marie Skogberg, CAADE
• Andy Skrypka, CDE
• Ronni Nicole Skuljan
• Jacqueline Rae Skvaril, M.D.
• Mackenzie Lindy Skye, PH.D., LMFT, BCETS
• Susan Elizabeth Slade, R.D.H.
• Katherine Kellie Slater
• Larry Slater, MD
• Leigh Ann Slater, M.D.
• Chandra Diana Slavonic, MFT

• Midwife in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.