MS. COLLEEN MARIE SLATTERY


Address: 4501 Ne 21st Ln, Fort Lauderdale, FL 33308-4712
Phone: 9548028823

MS. COLLEEN MARIE SLATTERY (NPI# 1780243048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780243048
Entity Type Individual
Full Name MS. COLLEEN MARIE SLATTERY
Credential PA-C
Practice Address 4501 Ne 21st Ln
Fort Lauderdale
FL 33308-4712
Practice Telephone 9548028823
Mailing Telephone 9548028823
Enumeration Date 2019-06-11
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers COLLEEN SLATTERY

NPI Name Taxonomy Address Enumeration
1770749053 Colleen Marie Slattery Speech-Language Pathologist 74 Malden Ave, La Grange, IL 60525-5844 2008-08-05
1518020882 Colleen A. Slattery Speech-Language Pathologist 10071 W Lincoln Hwy, Frankfort, IL 60423-1272 2006-12-18

Office Location

Street Address 4501 NE 21ST LN
City FORT LAUDERDALE
State FL
Zip Code 33308-4712

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215558788 Marina Silva Ferreira Student in an Organized Health Care Education/Training Program Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 2020-05-06
1013538040 Mehak Bansal Student in an Organized Health Care Education/Training Program 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 2020-04-30
1285269266 Roman Castell Massage Therapist 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 2020-03-10
1124667969 Icarevip, Inc Internal Medicine 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 2019-12-26
1629612932 Lana A Simmonds Nurse Practitioner 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 2019-10-30
1063997260 Kneaded Therapy, Inc Physical Medicine & Rehabilitation 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 2018-10-03
1518452184 Colleen Lynn Culbertson Nurse Anesthetist, Certified Registered 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 2018-06-26
1962910562 Healing Therapy Center Pllc Social Worker Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 2018-01-17
1376066647 Carlos Jose Garcia Student in an Organized Health Care Education/Training Program 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 2017-07-19
1407381940 Heather Hickson Lac LLC Clinic/Center 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 2017-04-21
Find all providers in zip 33308

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215558788 Marina Silva Ferreira Student in an Organized Health Care Education/Training Program Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 2020-05-06
1013538040 Mehak Bansal Student in an Organized Health Care Education/Training Program 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 2020-04-30
1851929459 Ashley Brightman Student in an Organized Health Care Education/Training Program 500 E Las Olas Blvd Apt 1601, Fort Lauderdale, FL 33301-2576 2020-03-30
1629631031 Gabriela Carbonell Student in an Organized Health Care Education/Training Program 1301 Sw 18th Ct, Fort Lauderdale, FL 33315-1954 2019-04-22
1932667623 Katelyn Alyssa Hernandez Student in an Organized Health Care Education/Training Program 510 Se 5th Ave Apt 1108, Fort Lauderdale, FL 33301-2998 2019-03-12
1093209306 Leshawn David Richards Student in an Organized Health Care Education/Training Program 4725 N Federal Hwy Fl Hwy2, Fort Lauderdale, FL 33308-4603 2018-06-20
1376066647 Carlos Jose Garcia Student in an Organized Health Care Education/Training Program 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 2017-07-19
1710340609 Christine Roy-mcmahon Student in an Organized Health Care Education/Training Program 1107 Ne 1st St, Fort Lauderdale, FL 33301-1601 2016-03-30
1245671882 Sheila Montalvo Student in an Organized Health Care Education/Training Program 5973 Sw 32nd Ter, Fort Lauderdale, FL 33312-6324 2013-07-11
1801172044 Diah I Askari Student in an Organized Health Care Education/Training Program 2445 Sw 18th Ter, Apt 123, Fort Lauderdale, FL 33315-2200 2011-11-02
Find all providers in FORT LAUDERDALE

Competitor

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City FORT LAUDERDALE
Zip Code 33308

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Dataset Information

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.

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