# MS. HEATHER CATHERINE SLAYTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649523143
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9106900 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 03/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 019027900 | — | FL |
| 01 | — | 1107510 | NCCPA | FL |
| 01 | — | 13887932 | CAQH PROVIDER ID | FL |
| 01 | — | 1649523143 | NPI | FL |
| 01 | — | 1951623826 | MEDICARE PECOS ID | FL |
| 01 | — | 363A00000X | MEDICARE TAXONOMY ID | FL |
| 01 | — | 4850001 | AETNA | FL |
| 01 | — | 5023117 | CIGNA | FL |
| 01 | — | 5QI08 | BCBS | FL |
| 01 | — | I20141203001730 | MEDICARE ENROLLMENT ID | FL |
| 01 | — | P01771721 | RR MEDICARE | FL |
| 01 | — | P1045436 | FREEDOM | FL |
| 01 | — | P978877 | OPTIMUM | FL |
| 01 | — | PA9106900 | FL DOH PA LICENSE | FL |