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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GLENN CRUTCHFIELD SLACK
NPI 1023913506
Student in an Organized Health Care Education/Training Program in Fort Collins, CO

Active since October 13, 2026
502 W LAKE STREET, FORT COLLINS, CO 80523(970) 491-5991 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenn Crutchfield Slack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN CRUTCHFIELD SLACK (NPI 1023913506) is an individual student in an organized health care education/training program in Fort Collins, Colorado and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1023913506
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGLENN CRUTCHFIELD SLACK
Location Address502 W LAKE STREETFort Collins, CO 80523-0001
Mailing Address1570 Campus DeliveryFort Collins, CO 80523-1570 · (970) 491-5991
Phone(970) 491-5991
Sole ProprietorNo
Enumeration DateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1023913506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
502 W LAKE STREET, Fort Collins, CO 80523
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLE MATTHEW LANDIS
Student in an Organized Health Care Education/Training Program
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 491-5991
ERIN FARRELL
Student in an Organized Health Care Education/Training Program
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 491-5991
CANDICE CHAVEZ LMFT
Marriage & Family Therapist
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 491-5991
MEGAN LILY BARTON
Student in an Organized Health Care Education/Training Program
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 491-5991
CHELSEA KLINE LMFT
Marriage & Family Therapist
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 492-4650
MILES T LISS
Student in an Organized Health Care Education/Training Program
502 W LAKE STREET
FORT COLLINS, CO 80523
Larimer County (970) 988-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Slack's NPI number?

The NPI number for Glenn Slack is 1023913506. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Where is Glenn Slack located?

Glenn Slack practices at 502 W Lake Street, Fort Collins, CO 80523. The listed phone number is (970) 491-5991.

What is Glenn Slack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Glenn Slack was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.