Individual provider Active NPI

Amber Lee Slaughter, APRN-C,FNP

  • Family Nurse Practitioner
  • Perry, FL
National Provider Identifier
1972276418
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011032 Issued in FL
Practice address
1702 S Jefferson St
Perry, FL 32348-5611
Phone
(855) 577-5437
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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 11011032 FL Primary

Addresses

Primary practice location

1702 S Jefferson St
Perry, FL 32348-5611

Mailing address

1875 Pine Bluff Rd
Perry, FL 32348-8580
Phone (850) 843-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241231003100 FL Practitioner - Nurse Practitioner 8325575400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011032FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Memorial Hospital Inc Current Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

1702 S Jefferson St
Perry, FL 32348
Phone (850) 838-2141

555 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 431-5360

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1972276418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 PINE BLUFF RD",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323488580",
            "telephone_number": "850-843-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485611",
            "telephone_number": "855-577-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APRN-C,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

Verify at the official NPI Registry.