Individual provider Active NPI

Phyllis Salyards, MD

  • Family Medicine Physician
  • Hastings, NE
National Provider Identifier
1114962057
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13573 Issued in NE
Practice address
606 N Minnesota Ave
Suite a
Hastings, NE 68901-5256
Phone
(402) 463-6781
Fax
(402) 463-7056
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13573 NE Primary

Addresses

Primary practice location

606 N Minnesota Ave
Suite a
Hastings, NE 68901-5256

Mailing address

606 N Minnesota Ave
Suite a
Hastings, NE 68901-5256
Phone (402) 463-6781

Other identifiers 2

IdentifierTypeStateIssuer
47055106500MedicaidNE
7394OtherNEBLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13573NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Family Practice, P.C Family Medicine Current Accepting new patients

Locations

606 N Minnesota Ave
Ste A
Hastings, NE 68901
Phone (402) 463-6781

606 N Minnesota Ave
#A
Hastings, NE 68901
Phone (402) 463-6781

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1114962057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N MINNESOTA AVE",
            "address_2": "SUITE A",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015256",
            "telephone_number": "402-463-6781",
            "fax_number": "402-463-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N MINNESOTA AVE",
            "address_2": "SUITE A",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015256",
            "telephone_number": "402-463-6781",
            "fax_number": "402-463-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYARDS",
        "first_name": "PHYLLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "13573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055106500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7394",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.