Katherine Salvador, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3995 Issued in CT

Practice address

33 Pratt St
Glastonbury, CT 06033-1014

Phone

(860) 946-0447

Fax

(860) 430-6861

NPI assigned

Jul 25, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Katherine Carroll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1427466150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FAIRFAX AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192003",
            "telephone_number": "617-750-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "860-946-0447",
            "fax_number": "860-430-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Main St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405381",
            "country_code": "US",
            "telephone_number": "413-536-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052401",
            "country_code": "US",
            "telephone_number": "508-799-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Weston St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061201504",
            "country_code": "US",
            "telephone_number": "860-527-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5048",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA5048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3995",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CARROLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• S&S Medical Supply
• Megan N Saari, ATC
• Beverly J. Sadler, OTR/L
• Jo-Ellen Sajek, LMFT, LADC
• Kristalyn Salters-Pedneault, PH.D.
• Christina Barnett Salvio
• Eva Francis Salzer, DC
• Nicole Lorraine Sanford, ATC, CSCS
• Michelle Santana, LCSW
• Leonard Julius Santarsiero, PH.D.

• Physician Assistant in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.