Individual provider Active NPI

Shada N Salvas, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1083325815
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023468 Issued in FL
Practice address
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone
(850) 877-8174
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023468 FL Primary

Addresses

Primary practice location

2605 Welaunee Blvd
Tallahassee, FL 32308-4697

Mailing address

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other practice location 1

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230620002576 FL Practitioner - Nurse Practitioner 6507224771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.5 of 100Reported as group
Quality
47.27
Promoting interoperability
99
Improvement activities
40
Cost
75.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11023468FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Medical Specialists, PLLC CurrentSince Feb 10, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Oct 28, 2024 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Oct 28, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

803 W Main St
Perry, FL 32347
Phone (850) 584-7078

3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

2605 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 219-1932

4012 Kelcey Ct
Ste 103
Tallahassee, FL 32308
Phone (850) 297-0351

Interoperability endpoints

  • Direct secure messaging: shada.salvas.1@18802.direct.athenahealth.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10085242

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 2

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1083325815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WELAUNEE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084697",
            "telephone_number": "850-877-8174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3334 Capital Medical Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084470",
            "country_code": "US",
            "telephone_number": "850-877-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVAS",
        "first_name": "SHADA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.