Individual provider Active NPI

Isabel Anna Salcedo, AUD

  • Audiologist
  • Fayetteville, NC
National Provider Identifier
1154215572
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30004053 Issued in NC
Practice address
2053 Valleygate Dr Ste 101
Fayetteville, NC 28304-3983
Phone
(910) 323-9222
Fax
(910) 354-1680
NPI assigned
Jun 9, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30004053 NC Primary

Addresses

Primary practice location

2053 Valleygate Dr Ste 101
Fayetteville, NC 28304-3983

Mailing address

2053 Valleygate Dr Ste 101
Fayetteville, NC 28304-3983
Phone (910) 323-9222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004487 NC Practitioner - Qualified Audiologist 4284141706

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Otolaryngology PAGroup PAC ID 7719962232, 4 clinicians

Practice addresses (Care Compare)

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3983
Phone (910) 323-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Otolaryngology, PA CurrentSince Jun 9, 2025 Accepting new patients
Holly Springs Ear, Nose, Throat & Allergy, PC Past Accepting new patients

Locations

2053 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 323-9222

4384 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 738-1141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1154215572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043983",
            "telephone_number": "910-323-9222",
            "fax_number": "910-354-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043983",
            "telephone_number": "910-323-9222",
            "fax_number": "910-354-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "ISABEL",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30004053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.