Armando Wayne Slack, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2943544405 Issued in UT

Practice address

3780 S West Temple Ste 201
South Salt Lake, UT 84115-4464

Phone

(385) 444-5800

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Manny Wayne Slack Other 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Odyssey House Inc.Group PAC ID 2365458833, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Mind Set Meds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1790572840
  Medicare reassignment NPD Authorized official
• Odyssey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033143706

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Levo LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Draper, UT
  • NPI 1740865526
  Medicare reassignment NPD
• Odyssey House Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1407481245
  NPD
• Life Stone Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1871829283
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1659572949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 RIFLEMAN DR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252792",
            "telephone_number": "801-557-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 S WEST TEMPLE STE 201",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154464",
            "telephone_number": "385-444-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ARMANDO",
        "middle_name": "WAYNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "2943544405",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "2943543102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANNY",
            "last_name": "SLACK",
            "middle_name": "WAYNE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindon Lee Simon, LCSW
• Simplify RX
• Edie L Sims, LMT
• Joshua Evan Sims
• Linda Singley
• Clarissa Smith
• Marilyn Ruth Smith
• Naomi Lynne Smith, PT
• Peggy R Smith
• Samantha Snell

• Psychiatric/Mental Health Nurse Practitioner in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.