Sloan Psychiatric Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SLOAN PSYCHIATRIC CARE PLLC

Practice address

1006 Vanderdasson Rd
Emmett, ID 83617-8880

Phone

(509) 731-5662

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Kathleen Ann Mack, ARNPNPI 1326211624

Title

Owner

Phone

(208) 944-1537

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Kathleen Ann Mack, ARNP

  • Family Nurse Practitioner
  • Emmett, ID
  • NPI 1326211624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1992581235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 VANDERDASSON RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836178880",
            "telephone_number": "208-944-1537",
            "fax_number": "208-944-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 VANDERDASSON RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836178880",
            "telephone_number": "509-731-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOAN PSYCHIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-944-1537",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin D Sebastian, M.D., FAAFP
• Lee Self, MD
• Briana Amber Shackley, RDH
• Daniel D Shaffer
• David M. Shuey II, PA-C
• Mitchell John Smarda
• Bradley Dean Smelcer, OWNER
• Barrie Von Smith, M.D.
• Cynthia K Smith, L.M.T.
• Gale M Smith

• Family Nurse Practitioner in Emmett, ID
• Providers in Emmett, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.