Individual provider Active NPI

Allison Slack

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkland, FL
National Provider Identifier
1982024030
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9292051 Issued in FL
Practice address
10733 Oceano Way
Parkland, FL 33076-3923
Phone
(305) 336-1602
NPI assigned
Apr 16, 2014
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1177208 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95029919 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9292051 FL Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X ARNP9292051 FL

Addresses

Primary practice location

10733 Oceano Way
Parkland, FL 33076-3923

Mailing address

10733 Oceano Way
Parkland, FL 33076-3923
Phone (305) 336-1602

Other practice location 1

2462 Solar Dr
Los Angeles, CA 90046-1741
Phone (800) 808-4570

Other practice location 2

10100 W Sample Rd Ste 316
Coral Springs, FL 33065-3981
Phone (754) 800-6301

Other practice location 3

630 W 34th St Ste 301
Austin, TX 78705-1217
Phone (512) 212-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150311000196 FL Practitioner - Nurse Practitioner 2163748211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Parkland, FL 33076
Phone (305) 336-1602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9292051FLMDAdult Psychiatric/Mental Health Registered Nurse
NP95029919CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carma Health PA CurrentSince May 2, 2024 Accepting new patients
Rebecca a Prostko MD PA CurrentSince Apr 1, 2020 Accepting new patients
Embracepsych, Inc Psychiatric/Mental Health CurrentSince May 14, 2014 Accepting new patients
Legacy Healing Center California LLC PastSince Aug 1, 2023 Accepting new patients

Locations

10100 W Sample Rd
Ste 316
Coral Springs, FL 33065
Phone (512) 212-4670

919 NE 13th St
Ft Lauderdale, FL 33304
Phone (954) 763-2030

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

14201 W Sunrise Blvd
Ste 208
Sunrise, FL 33323
Phone (754) 581-2064

630 W 34th St
Ste 301
Austin, TX 78705
Phone (512) 212-4670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1982024030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10733 OCEANO WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763923",
            "telephone_number": "305-336-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10733 OCEANO WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763923",
            "telephone_number": "305-336-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2462 Solar Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900461741",
            "country_code": "US",
            "telephone_number": "800-808-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 W Sample Rd Ste 316",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330653981",
            "country_code": "US",
            "telephone_number": "754-800-6301",
            "fax_number": "512-233-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 W 34th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051217",
            "country_code": "US",
            "telephone_number": "512-212-4670",
            "fax_number": "512-233-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1177208",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95029919",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9292051",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP9292051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.