Active NPI
Daniel Thomas Matthew Salter, F.N.P.
- Nurse Practitioner
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201805314NP-PP
- Practice address
- 2850 SE Powell Valley Rd
Gresham, OR 97080-1494 - Phone
- (503) 666-5050
- Fax
- (503) 666-1162
- NPI assigned
- Sep 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201805314NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | 9267450 | FL | |
| Nurse Practitioner | 363L00000X | 201805314NP-PP | OR | Primary |
Addresses
Primary practice location
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other practice location 1
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone (503) 714-8987
Other practice location 2
632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201805314NP-PP | OR | MD | Nurse Practitioner |
| 9267450 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth-Oregon PC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Mobile Emergency Physicians, LLC | Current | Accepting new patients |
Locations
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050
205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- daniel.salter@450368864321540.direct.elationemr.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Portland, OR
- NPI 1649822990
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1881934982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1396053575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 SE POWELL VALLEY RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801494",
"telephone_number": "503-666-5050",
"fax_number": "503-666-1162"
}
],
"practiceLocations": [
{
"address_1": "205 SE Spokane St Ste 300",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972026487",
"country_code": "US",
"telephone_number": "503-714-8987",
"fax_number": "720-598-0440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "632 Broadway Ph",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122614",
"country_code": "US",
"telephone_number": "800-731-4254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALTER",
"first_name": "DANIEL",
"middle_name": "THOMAS MATTHEW",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201805314NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9267450",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201805314NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.