Individual provider Active NPI

Valerie Denise Walther-Salvaggio, L.P.N.

  • Licensed Practical Nurse
  • Shirley, NY
National Provider Identifier
1366867988
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316411 Issued in NY
Practice address
367 Carnation Dr
Shirley, NY 11967-1413
Phone
(631) 764-7074
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316411 NY Primary

Addresses

Primary practice location

367 Carnation Dr
Shirley, NY 11967-1413

Mailing address

367 Carnation Dr
Shirley, NY 11967-1413
Phone (631) 764-7074

Other practice location 1

17 Felway Dr
Coram, NY 11727-1410
Phone (631) 764-7080

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL none Other

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

State licenses

LicenseStateTypeSpecialty
316411NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1366867988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 CARNATION DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671413",
            "telephone_number": "631-764-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 CARNATION DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671413",
            "telephone_number": "631-764-7074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Felway Dr",
            "address_purpose": "LOCATION",
            "city": "Coram",
            "state": "NY",
            "postal_code": "117271410",
            "country_code": "US",
            "telephone_number": "631-764-7080",
            "fax_number": "631-476-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTHER-SALVAGGIO",
        "first_name": "VALERIE",
        "middle_name": "DENISE",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "endpointDescription": "none",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "verbal discussion only",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "verbal discussion only",
            "address_1": "367 Carnation Dr",
            "city": "Shirley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119671413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.