MIKKA SLATER (NPI# 1043566698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043566698 |
| Entity Type | Individual |
| Full Name | MIKKA SLATER |
| Credential | IDMT |
| Practice Address |
1503 University Ave Monroe LA 71203-3550 |
| Practice Telephone | 3183763424 |
| Mailing Telephone | 3183763424 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
1503 UNIVERSITY AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71203-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902318314 | Alexander Arrieta | Military Health Care Provider | 1917 Liberty Ave S, Barksdale Afb, LA 71110-2162 | 2017-10-26 |
| 1568803450 | Jenna Elizabeth Davila | Military Health Care Provider | 293 Avondale Ln, Bossier City, LA 71112-4266 | 2013-07-09 |
| 1033477757 | Shandy Gore | Military Health Care Provider | 5610 Buncombe Rd Apt 907, Shreveport, LA 71129-3617 | 2012-05-01 |
| 1710243126 | Mark Butanis | Military Health Care Provider | 3913 N I 10 Service Rd W Apt 239, Metairie, LA 70002-6828 | 2012-04-10 |
| 1053684985 | Rashad C. Holley | Military Health Care Provider | 1225 Villaggio Blvd, Bossier City, LA 71111-7438 | 2012-02-23 |
| 1790014660 | Athena Lee Castilleja Ezernack | Military Health Care Provider | 407 Barksdale Blvd E, Barksdale Afb, LA 71110-2125 | 2009-12-23 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1891179578 | Heather C Acres | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-07-13 |
| 1598909970 | Jody Lee Ohmer | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2009-04-28 |
| 1194969550 | Charles Wayne Sheffield | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2009-04-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.