Individual provider Active NPI

Melissa Slaugh, APRN

  • Nurse Practitioner
  • Vernal, UT
National Provider Identifier
1740698174
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7225362-4405 Issued in UT
Practice address
1140 W 500 S
Vernal, UT 84078-2914
Phone
(435) 789-6300
Fax
(435) 725-6325
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 7225362-3102 UT
Nurse Practitioner 363L00000X 7225362-4405 UT Primary

Addresses

Primary practice location

1140 W 500 S
Vernal, UT 84078-2914

Mailing address

1140 W 500 S Ste 9
Vernal, UT 84078-2912
Phone (435) 789-6300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230222002832 UT Practitioner - Nurse Practitioner 8729451786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1140 W 500
Vernal, UT 84078-2914
Phone (435) 789-6300

Hospital & facility affiliations

  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uintah Basin Tri-County Mental Health and Substance Abuse Local Author CurrentSince Feb 6, 2023 Accepting new patients

Locations

285 W 800 S
Roosevelt, UT 84066
Phone 43572563006340

290 W 800 S
Roosevelt, UT 84066

1140 W 500 S
Ste 9
Vernal, UT 84078

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1740698174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 500 S STE 9",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782912",
            "telephone_number": "435-789-6300",
            "fax_number": "435-725-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 500 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782914",
            "telephone_number": "435-789-6300",
            "fax_number": "435-725-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGH",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "7225362-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7225362-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.