Individual provider Active NPI

Christie Lea Ilg-Salter, N.P.

  • School Nurse Practitioner
  • Durango, CO
National Provider Identifier
1508085580
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
APN.0000372 Issued in CO
Practice address
2390 Main Ave
Durango, CO 81301-4638
Phone
(970) 375-3832
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 107156 CO
Nurse Practitioner 363L00000X 107156 CO
School Nurse Practitioner 363LS0200X APN.0000372 CO Primary

Addresses

Primary practice location

2390 Main Ave
Durango, CO 81301-4638

Mailing address

185 Suttle St
Durango, CO 81303-8276

Other practice location 1

810 East 3rd St. Suite #301
Pediatric Partners of the Southwest
Durango, CO 81301
Phone (970) 375-0100

Other identifiers 1

IdentifierTypeStateIssuer
01188358MedicaidCO

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

LicenseStateTypeSpecialty
107156COMDPediatrics Physician
APN.0000372COMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc PastSince Feb 24, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1508085580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014638",
            "telephone_number": "970-375-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 East 3rd St. Suite #301",
            "address_2": "Pediatric Partners of the Southwest",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "81301",
            "country_code": "US",
            "telephone_number": "970-375-0100",
            "fax_number": "970-375-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILG-SALTER",
        "first_name": "CHRISTIE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "107156",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "107156",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CO",
            "license": "APN.0000372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01188358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.