Individual provider Active NPI

Tami Salomon, AGNP-C

  • Adult Health Nurse Practitioner
  • Healdsburg, CA
National Provider Identifier
1013428341
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95011638 Issued in CA
Practice address
1381 University St
Healdsburg, CA 95448-3314
Phone
(707) 433-5494
Fax
(707) 433-0229
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95045928 CA
Adult Health Nurse Practitioner 363LA2200X AG09170056 VA
Gerontology Nurse Practitioner 363LG0600X 0024175892 VA
Gerontology Nurse Practitioner 363LG0600X AG09170056 VA
Adult Health Nurse Practitioner 363LA2200X 95011638 CA Primary

Addresses

Primary practice location

1381 University St
Healdsburg, CA 95448-3314

Mailing address

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494

Other practice location 1

220 Concourse Blvd
Santa Rosa, CA 95403-8210
Phone (844) 527-7369

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230818001020 CA Practitioner - Nurse Practitioner 7416281233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical CenterGroup PAC ID 3779471446, 42 clinicians

Practice addresses (Care Compare)

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG09170056VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Center CurrentSince Sep 9, 2024 Accepting new patients
Alliance Medical Center CurrentSince Sep 9, 2024 Accepting new patients
Alliance Medical Center Current Accepting new patients

Locations

1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234

8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494

Interoperability endpoints

  • Direct secure messaging: tsalomon733358@direct.ochin.org
  • Direct secure messaging: tami.salomon.1@17480.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1013428341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-433-5494",
            "fax_number": "707-433-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-433-5494",
            "fax_number": "707-433-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Concourse Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954038210",
            "country_code": "US",
            "telephone_number": "844-527-7369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "TAMI",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95045928",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "AG09170056",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024175892",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "AG09170056",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95011638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.