COLLEEN M SLATE (NPI# 1922246503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922246503 |
| Entity Type | Individual |
| Full Name | COLLEEN M SLATE |
| Credential | NP |
| Practice Address |
2900 Lamb Cir Ste L-760 Christiansburg VA 24073-6344 |
| Practice Telephone | 5407312436 |
| Practice Fax Number | 5407312439 |
| Mailing Telephone | 5407312436 |
| Mailing Fax Number | 5407312439 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001134247 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024168258 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA PREMIER | 1922246503 | 01 |
| VA | RAILROAD MEDICARE | P01051629 | 01 |
| VA | ANTHEM MEDIGAP | 1922246503 | 01 |
| VA | 1922246503 | 05 | |
| VA | AETNA | 1922246503 | 01 |
| VA | TRICARE/CHAMPUS | 541586601118 | 01 |
| Street Address |
2900 LAMB CIR STE L-760 |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021218 | Olivia Ross Ferguson | Physician Assistant | 2900 Lamb Cir Ste L-760, Christiansburg, VA 24073-6344 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838267 | Misty Spring Queen | Nurse Practitioner | 850 George Edward Via, Christiansburg, VA 24073-1458 | 2020-10-12 |
| 1689287328 | Anthony Benedict Jackson | Nurse Practitioner | 8 Radford St # 202, Christiansburg, VA 24073-3320 | 2020-08-24 |
| 1841720372 | Melissa Cleo Weiss | Nurse Practitioner | 2900 Lamb Cir Ste 300, Christiansburg, VA 24073-6341 | 2017-06-18 |
| 1023216587 | Anthony Ray Ramsey | Nurse Practitioner | The Community Health Center of The New River Valley, 215 Roanoke St., Christiansburg, VA 24073 | 2007-07-06 |
| 1104846948 | Carolyn Walter | Nurse Practitioner | 550 N Franklin St, Christiansburg, VA 24073-1916 | 2006-07-21 |
| 1114905585 | Susan Katherine Blick | Nurse Practitioner | 2900 Lamb Cir Ste 7-700a, Christiansburg, VA 24073-6344 | 2006-01-05 |
| 1356975627 | Julie Thomas Parks | Nurse Practitioner | 2900 Lamb Cir, Christiansburg, VA 24073-6344 | 2020-02-26 |
| 1154971216 | Alexis Marie Inaman Misra | Nurse Practitioner | 120 Akers Farm Rd, Christiansburg, VA 24073-4863 | 2019-09-19 |
| 1942777099 | Brittany Dyan Woodyard | Nurse Practitioner | 100 Spradlin Farm Dr, Christiansburg, VA 24073-1161 | 2018-10-26 |
| 1306321138 | Bertha Maclin | Nurse Practitioner | 125 Akers Farm Rd, Christiansburg, VA 24073-4866 | 2018-09-27 |
| Find all providers in CHRISTIANSBURG | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
Please comment or provide details below to improve the information on COLLEEN M SLATE.
| 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.