Pair of Slacks, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

APN3104 Issued in AZ

Legal business name

PAIR OF SLACKS, LLC

Doing business as

Old Town Scottsdale Weight Loss & Wellness

Practice address

4032 N Miller Rd Ste 108
Scottsdale, AZ 85251-4572

Phone

(520) 248-9772

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Austin Slack, NP-CNPI 1649426826

Title

Nurse Practitioner/Owner

Phone

(480) 360-2299

Specialties & licenses 1

Addresses

Other names 1

• Old Town Scottsdale Weight Loss & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Austin Slack, APN

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1649426826
  NPD (past) Authorized official

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1750778387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 N MILLER RD STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514572",
            "telephone_number": "520-248-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 N MILLER RD STE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514572",
            "telephone_number": "520-248-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIR OF SLACKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "480-360-2299",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": "APN3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Town Scottsdale Weight Loss & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pain Relief Associates, PLC
• Pain Resources
• Painmed LLC (Pain and Wellness of Scottsdale)
• Sarah Maria Painter, LPC
• Paion Institute LLC
• Darian Michael Pajak, MD
• Netanel Pakanaev
• Valerie Ann Palacios-Chapa, FNP-C
• Samhita Palakodeti
• Smita V Palejwala, DDS

• Multi-Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.