Individual provider Active NPI

Cindy Jane Salmon, RD

  • Registered Dietitian
  • Fairbanks, AK
National Provider Identifier
1033100110
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0030 Issued in AK
Practice address
828 Crossman Rd
Fairbanks, AK 99712-1413
Phone
(907) 457-6688
Fax
(907) 782-4232
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0030 AK Primary

Addresses

Primary practice location

828 Crossman Rd
Fairbanks, AK 99712-1413

Mailing address

828 Crossman Rd
Fairbanks, AK 99712-1413
Phone (907) 457-6688

Other identifiers 1

IdentifierTypeStateIssuer
DT3008MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000566 AK Practitioner - Registered Dietitian Or Nutrition Professional 8921998386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jammin Salmons Physical and Nutritional Therapies IncGroup PAC ID 3577453927, 2 clinicians

Practice addresses (Care Compare)

828 Crossman Rd
Fairbanks, AK 99712-1413
Phone (907) 452-6488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0030AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jammin' Salmons' Physical & Nutritional Therapies, Inc. Dietitian, Registered CurrentSince Aug 23, 2000 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033100110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 CROSSMAN RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121413",
            "telephone_number": "907-457-6688",
            "fax_number": "907-782-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 CROSSMAN RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997121413",
            "telephone_number": "907-457-6688",
            "fax_number": "907-782-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "CINDY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "0030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT3008",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.