Glenn Crutchfield Slack

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

502 W Lake Street
Fort Collins, CO 80523-0001

Phone

(970) 491-5991

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1023913506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231570",
            "telephone_number": "970-491-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W LAKE STREET",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805230001",
            "telephone_number": "970-491-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "GLENN",
        "middle_name": "CRUTCHFIELD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Sue Skow-Pucel, NP
• Matthew J Skrdla, O.D.
• Palmer Skudneski, MFTC
• Laima Arija Skuja, LCSW
• Brian Jonathan Sky
• Toni Ellen Sladek, LCSW
• Nicholas Slagel, PHD, RDN
• Judith Slaney, R.N.
• Elisabeth Marie Slatt, LCSW
• Paul Wilson Slaughter, LMFT

• Student in an Organized Health Care Education/Training Program in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.