Elma M Slough

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95013821 Issued in CA

Practice address

461 Tennessee St
Redlands, CA 92373-8167

Phone

(909) 475-7371

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elma Tulod Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David Desai MD IncGroup PAC ID 6204148794, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• David Desai MD Inc

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1174901128
  Medicare reassignment Care Compare group NPD
• Archis Desai MD Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1639696412
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1982220588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35589 VELARDO DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994921",
            "telephone_number": "909-797-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 TENNESSEE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738167",
            "telephone_number": "909-475-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOUGH",
        "first_name": "ELMA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELMA",
            "last_name": "TULOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John W. Skubic, M.D.
• Nareem-Anne Slayyeh, DDS
• Sleepmed of California, Inc
• Sleepmed of California, Inc.
• Sleepmed Therapies Inc.
• Rachel Small
• Smile Bright Dental Corporation
• Amanda Nicole Smith, AMANDA CARD
• Anthony Giannini Smith II, PA-C
• Cheryl Ranea Smith, RN

• Psychiatric/Mental Health Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.

Verify at the official NPI Registry.