Individual provider Active NPI

Amy Kathleen Salata, MSN, FNP-BC

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1003622242
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031294 Issued in IL
Practice address
643 N York St # 1010
Elmhurst, IL 60126-1604
Phone
(708) 721-2106
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Nurse Practitioner 363LF0000X 209031294 IL Primary
Infusion Therapy Clinic/Center 261QI0500X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

643 N York St # 1010
Elmhurst, IL 60126-1604

Mailing address

643 N York St # 1010
Elmhurst, IL 60126-1604
Phone (708) 721-2106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250304003778 IL Practitioner - Nurse Practitioner 4688195803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cimpar SCGroup PAC ID 3577578798, 35 clinicians

Practice addresses (Care Compare)

101 Madison St
Suite 300
Oak Park, IL 60302-4210
Phone (708) 486-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cimpar, S.C. CurrentSince Feb 3, 2025 Accepting new patients

Locations

8700 31st St
Brookfield, IL 60513
Phone (708) 485-0135

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1003622242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N YORK ST # 1010",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261604",
            "telephone_number": "708-721-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N YORK ST # 1010",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261604",
            "telephone_number": "708-721-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALATA",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031294",
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.