Active NPI
Lane Richard Salazar PLLC
- Gerontology Nurse Practitioner
- Fort Smith, AR
National Provider Identifier
1407403207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- LANE RICHARD SALAZAR PLLC
- Practice address
- 302 N Greenwood Ave
Fort Smith, AR 72901-3454 - Phone
- (479) 434-3600
- NPI assigned
- Aug 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lane Richard Salazar, DNP, APN
- Title
- Nurse Practitioner/Owner
- Phone
- (479) 461-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
302 N Greenwood Ave
Fort Smith, AR 72901-3454
Mailing address
302 N Greenwood Ave
Fort Smith, AR 72901-3454
Phone (479) 434-3600
National Provider Directory
National Provider DirectoryLocations
302 N Greenwood Ave
#F
Fort Smith, AR 72901
Phone (479) 434-3600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Fort Smith, AR
- NPI 1710381082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567814400000",
"number": "1407403207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N GREENWOOD AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729013454",
"telephone_number": "479-434-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N GREENWOOD AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729013454",
"telephone_number": "479-434-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANE RICHARD SALAZAR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2019-09-07",
"status": "A",
"authorized_official_last_name": "SALAZAR",
"authorized_official_first_name": "LANE",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "479-461-8765",
"authorized_official_credential": "DNP, APN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.