Active NPI
Mary Ann Salazar, ANP
- Nurse Practitioner
- Rogers, AR
National Provider Identifier
1396793170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01266
- Practice address
- 1233 West Poplar Street
Rogers, AR 72756 - Phone
- (479) 636-9235
- Fax
- (479) 631-0374
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01266 | AR | Primary |
Addresses
Primary practice location
1233 West Poplar Street
Rogers, AR 72756
Mailing address
1233 West Poplar Street
Rogers, AR 72756
Phone (479) 636-9235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155331758 | Medicaid | AR |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1396793170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 WEST POPLAR STREET",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-636-9235",
"fax_number": "479-631-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 WEST POPLAR STREET",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-636-9235",
"fax_number": "479-631-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155331758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.