Individual provider Active NPI

Galen Slough, NP

  • Family Nurse Practitioner
  • Russell, KS
National Provider Identifier
1144799123
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78410 Issued in KS
Practice address
200 S Main St
Russell, KS 67665-2920
Phone
(785) 483-0750
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 78410 KS Primary

Addresses

Primary practice location

200 S Main St
Russell, KS 67665-2920

Mailing address

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20190112000222 KS Practitioner - Nurse Practitioner 7012253032 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78410KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Kansas Association, Inc CurrentSince Jul 11, 2024 Accepting new patients
West Central Kansas Association Inc. Current Accepting new patients
West Central Kansas Association, Inc. CurrentSince Jul 11, 2024 Accepting new patients
Prairie Winds Family Care LLC Family CurrentSince Nov 1, 2021 Accepting new patients

Locations

200 S Main St
Russell, KS 67665
Phone (785) 483-2323

200 S Main St
#B
Russell, KS 67665
Phone (785) 483-3333

1507 W US Highway 24
Wamego, KS 66547
Phone (785) 456-9773

904 5th St
Wamego, KS 66547
Phone (785) 456-9773

Interoperability endpoints

  • Direct secure messaging: galen.slough.1@22639.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22639/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1144799123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-0750",
            "fax_number": "785-483-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "GALEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.