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CHEYENNE SLACK LPN
NPI 1386236818
Licensed Practical Nurse in Northport, NY

Active since February 05, 2021
23 BRITTANY CT, NORTHPORT, NY 11768(631) 834-5420 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Feb 5, 2021 (2 updates tracked since 2021).

About Cheyenne Slack Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE SLACK LPN (NPI 1386236818) is an individual licensed practical nurse in Northport, New York, licensed in New York (340734) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1386236818
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHEYENNE SLACKCredential: LPN
Location Address23 BRITTANY CTNorthport, NY 11768-3225
Mailing Address1308 N Park AveBay Shore, NY 11706-4108
Phone(631) 834-5420
Sole ProprietorYes
Enumeration DateFebruary 5, 2021
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1386236818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 340734
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
23 BRITTANY CT, Northport, NY 11768
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Other Identifiers 2

Other1234567812345678
Other340734NY · New York

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHELLE BETARD-BOYD LPN
Licensed Practical Nurse
23 BRITTANY CT
NORTHPORT, NY 11768
Suffolk County (631) 633-4520
JESSICA HORNE LPN
Licensed Practical Nurse
23 BRITTANY CT
NORTHPORT, NY 11768
Suffolk County (631) 834-5420
MS. MARILYN JOSEPH BACCHUS RN
Registered Nurse (Home Health)
23 BRITTANY CT
NORTHPORT, NY 11768
Suffolk County (631) 834-5422
LEATRICE KIICHELLE DYER LPN
Nursing Care
23 BRITTANY CT
NORTHPORT, NY 11768
Suffolk County (631) 374-0977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne Slack's NPI number?

The NPI number for Cheyenne Slack is 1386236818. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Cheyenne Slack located?

Cheyenne Slack practices at 23 Brittany Ct, Northport, NY 11768. The listed phone number is (631) 834-5420.

What is Cheyenne Slack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Cheyenne Slack was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.