Adelaide Robinson Slack, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9429781-1205 Issued in UT

Practice address

1388 S Navajo St
Suite C
Salt Lake City, UT 84104-3493

Phone

(801) 955-2360

Fax

(801) 982-9232

NPI assigned

Apr 4, 2011

Last updated

Aug 3, 2015By 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 2

Addresses

Other names 1

• Ms. Adelaide Hill Robinson Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adelaide.slack@chcsl.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

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.

• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1952505117

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Health Centers, Inc.

  dba 72nd Street Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
  • NPI 1073611364

  Family Medicine

  NPD
• Community Health Centers, Inc.

  dba Neighborhood Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1255757670

  Family Medicine

  NPD
• Community Health Centers, Inc.

  dba Oquirrh View Medical & Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Taylorsville, UT
  • NPI 1801992953

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1275822918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 S 3200 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292822",
            "telephone_number": "801-858-3461",
            "fax_number": "801-955-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 S NAVAJO ST",
            "address_2": "SUITE C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043493",
            "telephone_number": "801-955-2360",
            "fax_number": "801-982-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ADELAIDE",
        "middle_name": "ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51664",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9429781-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELAIDE",
            "last_name": "ROBINSON",
            "middle_name": "HILL",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvia Skripenova, MD
• Denise Lynn Skuster, M.D.
• Sky Roots Healing, PLLC (Sky Roots Wellness)
• SL Anesthesia
• SL Psychology, PLLC
• Nycholle Slack
• Sean Damian Slack, D.O
• Jamie Slade
• Michael Keith Slade, MSW
• Jacob Stanley Slagle, MD

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.