Kristi M Slack, CF NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R853095 Issued in MS

Practice address

3 County Road 4050
Marietta, MS 38856

Phone

(662) 728-2408

Fax

(662) 728-2409

NPI assigned

Jul 11, 2006

Last updated

Apr 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristislack@nmhs.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Center, Inc.

  dba Pulmonary Consultants

  • Pulmonary Disease Physician
  • Tupelo, MS
  • NPI 1881064517
  NPD
• North Mississippi Medical Center

  dba Family Medicine Residency Center

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1285745885
  NPD (past)
• Tupelo Anesthesia Group PA

  • Anesthesiology Physician
  • Tupelo, MS
  • NPI 1558390443
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monroe Health Services, Inc.

  dba North Mississippi Medical Center - Gilmore - Amory

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1003840232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "MARIETTA",
            "state": "MS",
            "postal_code": "388560056",
            "telephone_number": "662-728-2408",
            "fax_number": "662-728-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COUNTY ROAD 4050",
            "city": "MARIETTA",
            "state": "MS",
            "postal_code": "38856",
            "telephone_number": "662-728-2408",
            "fax_number": "662-728-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "CF NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R853095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Cleo Harris, NURSE PRACTITIONER
• Marietta Family Clinic, Inc.

• Nurse Practitioner in Marietta, MS
• Providers in Marietta, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.