Individual provider Active NPI

Ki Alexandra Slusher, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1679185151
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
257987 Issued in AZ
Practice address
1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502
Phone
(520) 407-5400
NPI assigned
Aug 17, 2020
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 257987 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 257987 AZ Primary

Addresses

Primary practice location

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502

Mailing address

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502
Phone (520) 407-5400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250404002370 AZ Practitioner - Nurse Practitioner 9335663988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1260 S Campbell Ave
Green Valley, AZ 85614-0503
Phone (520) 407-5800

15921 W Ajo Hwy
Tucson, AZ 85735-2032
Phone (520) 407-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257987AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center - Maria Auxiliadora, Inc. Current Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince May 12, 2025 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince May 12, 2025 Accepting new patients

Locations

1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400

Organizations & group practices 3

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1679185151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140502",
            "telephone_number": "520-407-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140502",
            "telephone_number": "520-407-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSHER",
        "first_name": "KI",
        "middle_name": "ALEXANDRA",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "257987",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "257987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.