Active NPI
Stephanie Slack Allen, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 21694
- Practice address
- 408 Virginia St
Paris, TN 38242-5341 - Phone
- (731) 642-0521
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 21694 | TN | Primary |
Addresses
Primary practice location
408 Virginia St
Paris, TN 38242-5341
Mailing address
101 Alberta St
Martin, TN 38237-3501
Phone (731) 514-5774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-4481
641 RB Wilson Dr
Huntingdon, TN 38344-1733
Phone (731) 986-4461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21694 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Baptist Memorial Hospital-Huntingdon | Current | Accepting new patients | |
| Carey Counseling Center, Inc. | Past | Accepting new patients |
Locations
631 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2933
641 Rb Wilson Dr
Ste G
Huntingdon, TN 38344
Phone (731) 986-7400
641 Rb Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-4461
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/
- sslackallen183262@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Huntingdon, TN
- NPI 1184114902
-
- Psychiatric Hospital Unit
- Huntingdon, TN
- NPI 1013324425
-
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
- Mental Health Counselor
- Paris, TN
- NPI 1760568877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1851848683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ALBERTA ST",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373501",
"telephone_number": "731-514-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 VIRGINIA ST",
"city": "PARIS",
"state": "TN",
"postal_code": "382425341",
"telephone_number": "731-642-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLACK ALLEN",
"first_name": "STEPHANIE",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "21694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.