Constance L Slay, MSN/FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP2987 Issued in AZ

Practice address

470 S Ocotillo Ave
Benson, AZ 85602-6403

Phone

(520) 366-0598

NPI assigned

Apr 19, 2008

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeastern Arizona Behavioral Health Services, Inc.Group PAC ID 2860488368, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeastern Arizona Behavioral Health Services, Inc.

  dba Benson Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Benson, AZ
  • NPI 1760830137
  Medicare reassignment Care Compare group NPD
• La Frontera Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1023119955
  Medicare reassignment NPD
• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483
  Medicare reassignment NPD
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD
• Southeastern Arizona Behavioral Health Service, Inc

  • Community/Behavioral Health Agency
  • Douglas, AZ
  • NPI 1932620390
  NPD
• Southeastern Arizona Behavioral Health Services

  dba SEABHS- Clifton Outpatient

  • Community/Behavioral Health Agency
  • Clifton, AZ
  • NPI 1902993470
  NPD
• La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1932404225
  NPD (past)
• Southeastern Arizona Behavioral Health Services, Inc.

  dba Casa De Esperanza BH Residential Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Sierra Vista, AZ
  • NPI 1467158865
  NPD (past)

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1396919346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856151548",
            "telephone_number": "520-366-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-366-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAY",
        "first_name": "CONSTANCE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSN/FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-19",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2987",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Marie Schroeder
• Amanda Sue Shorette, MD
• Thomas Shute
• Melissa Ann Simard, LAC
• Kayle Skorupski, MS, RDN, CNSC
• Nancy Elizabeth Smith, RPH
• Tomas G. Soto, LBSW-1504
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Behavioral Health Services, Inc. (Benson Outpatient Treatment Center)
• John Sowersby

• Psychiatric/Mental Health Nurse Practitioner in Benson, AZ
• Providers in Benson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.