Tracy H Slack

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5282 S Commerce Dr Ste D110
Murray, UT 84107-5324

Phone

(385) 881-0406

NPI assigned

Nov 28, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Project Reality

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1134211626
  NPD (past)
• Project Reality

  • Clinic/Center
  • Salt Lake City, UT
  • NPI 1750473237
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1609586056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 S COMMERCE DR STE D110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 S COMMERCE DR STE D110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075324",
            "telephone_number": "385-881-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "TRACY",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Skanchy, MD
• Larisse Skene, DMD
• Skin Pathology Consultants of Utah (Dermatopathology Center)
• Keanyn Thomas Skinfill, DPM
• SL-Center of Revitalizing Psychiatry LLC (Center of Revitalizing Psychiatry)
• Sophia Slade
• Sleep and Lung Clinic of Utah, Inc.
• Sleep Institute of Utah LC
• Sleep Medicine Clinic
• David Sleight, LMT

• Case Manager/Care Coordinator in Murray, UT
• Providers in Murray, UT by specialty
• Case Manager/Care Coordinator in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.