Active NPI
Nicola Salomone, MS, LAT, ATC
- Athletic Trainer
- Jber, AK
National Provider Identifier
1366989634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 188481
- Practice address
- 9551 Sijan Ave
Jber, AK 99506-4300 - Phone
- (907) 552-6497
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | 3021 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 188481 | AK | Primary |
Addresses
Primary practice location
9551 Sijan Ave
Jber, AK 99506-4300
Mailing address
9551 Sijan Ave
Jber, AK 99506-4300
Other practice location 1
263 Alden St
Springfield, MA 01109-3707
Phone (717) 608-0588
Other practice location 2
1801 N Broad St
Philadelphia, PA 19122-6003
Phone (717) 608-0588
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188481 | AK | MD | Athletic Trainer |
| 3021 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1366989634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9551 SIJAN AVE",
"city": "JBER",
"state": "AK",
"postal_code": "995064300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9551 SIJAN AVE",
"city": "JBER",
"state": "AK",
"postal_code": "995064300",
"telephone_number": "907-552-6497"
}
],
"practiceLocations": [
{
"address_1": "263 Alden St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011093707",
"country_code": "US",
"telephone_number": "717-608-0588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191226003",
"country_code": "US",
"telephone_number": "717-608-0588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALOMONE",
"first_name": "NICOLA",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3021",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AK",
"license": "188481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.