Jessica Nicole Salas, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP122496 Issued in TX

Practice address

4410 N Midkiff Rd Ste D4
Midland, TX 79705-4249

Phone

(432) 218-8899

Fax

(432) 264-8355

NPI assigned

Oct 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Basin Pediatrics, LLC

  • Pediatrics Physician
  • Midland, TX
  • NPI 1033825203
  NPD Authorized official

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1306198270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD STE D4",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054249",
            "telephone_number": "432-218-8899",
            "fax_number": "432-624-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD STE D4",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054249",
            "telephone_number": "432-218-8899",
            "fax_number": "432-264-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP122496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Saba, MD
• Rasha Saba
• Mira Saenz
• Sandra Irina Saenz, LCSW
• Simrah Sajjad
• Kevin Edward Salas, FNP-C
• Gabriella Kay Salazar, LMSW
• Laura Vuelvas Salcido, PA
• Venessa R Saldana, FNP-C
• Moses Salih

• Pediatric Nurse Practitioner in Midland, TX
• Providers in Midland, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.