Individual provider Active NPI

Phyllis Patricia Salkey, ARNP

  • Pediatric Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1083810451
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
22894 Issued in CA
Practice address
18270 Siskiyou Rd Ste B
Apple Valley, CA 92307
Phone
(760) 949-4118
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 22894 CA Primary

Addresses

Primary practice location

18270 Siskiyou Rd Ste B
Apple Valley, CA 92307

Mailing address

18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413
Phone (760) 949-4118

Other identifiers 1

IdentifierTypeStateIssuer
XXXOtherXXX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1083810451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-949-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-949-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKEY",
        "first_name": "PHYLLIS",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "22894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XXX",
            "identifier": "XXX",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.