Active NPI
Vivian Salgado, NP
- Registered Nurse
- Sierra Vista, AZ
National Provider Identifier
1407895097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 063922
- Practice address
- 5750 E. Highway 90
Suite 300a
Sierra Vista, AZ 85635 - Phone
- (520) 458-8075
- Fax
- (520) 458-0339
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 063922 | AZ | Primary |
Addresses
Primary practice location
5750 E. Highway 90
Suite 300a
Sierra Vista, AZ 85635
Mailing address
2424 N. Wyatt Drive
Second Floor
Tucson, AZ 85712
Phone (520) 545-0608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2Z2375 | Other | HEALTHNET | |
| 319451 | Medicaid | AZ |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063922 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1407895097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 N. WYATT DRIVE",
"address_2": "SECOND FLOOR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-545-0608",
"fax_number": "520-795-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 E. HIGHWAY 90",
"address_2": "SUITE 300A",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85635",
"telephone_number": "520-458-8075",
"fax_number": "520-458-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGADO",
"first_name": "VIVIAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "063922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Z2375",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319451",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.