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MS. COLLEEN MARIE SLATTERY PA-C
NPI 1780243048
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since June 11, 2019PECOS Enrolled
4501 NE 21ST LN, FORT LAUDERDALE, FL 33308(954) 802-8823 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Colleen Marie Slattery Pa-c NPPES

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

MS. COLLEEN MARIE SLATTERY PA-C (NPI 1780243048) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780243048
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. COLLEEN MARIE SLATTERYCredential: PA-C
Location Address4501 NE 21ST LNFort Lauderdale, FL 33308-4712
Mailing Address4501 Ne 21st LnFort Lauderdale, FL 33308-4712 · (954) 802-8823
Phone(954) 802-8823
Sole ProprietorYes
Enumeration DateJune 11, 2019
✔ NPI 1780243048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
4501 NE 21ST LN, Fort Lauderdale, FL 33308
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Colleen Marie Slattery Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Colleen Slattery's NPI number?

The NPI number for Colleen Slattery is 1780243048. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Colleen Slattery located?

Colleen Slattery practices at 4501 NE 21st Ln, Fort Lauderdale, FL 33308. The listed phone number is (954) 802-8823.

What is Colleen Slattery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colleen Slattery enrolled in Medicare?

Yes. Colleen Slattery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Slattery was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.