Salutem Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SALUTEM INC

Doing business as

Barn Door Health

Practice address

807 High Point St Unit H
Randleman, NC 27317-9002

Phone

(336) 498-7777

Fax

(866) 548-7001

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Martin, NP

Title

President

Phone

(816) 797-2021

Specialties & licenses 2

Addresses

Other names 1

• Barn Door Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508367327. Details of each certification follow.

• CCN 348965 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 348965

Legal name

BARN DOOR HEALTH

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 6, 2020

Last certification

Jul 6, 2020

Ownership / control type

1B

Facility address

807 High Point Street Unit H
Randleman, NC 27317

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1508367327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 HIGH POINT ST UNIT H",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179002",
            "telephone_number": "336-498-7777",
            "fax_number": "866-548-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HIGH POINT ST UNIT H",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179002",
            "telephone_number": "336-498-7777",
            "fax_number": "866-548-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-797-2021",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barn Door Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lynn Reddick, MPT
• Kristie L Reed, PHARMD
• Luis Alonso Romero, PTA
• Melissa Smith Rose, NP-C
• Rydes LLC
• Carter Lee Shotwell, LCSW-A
• David G. Skowronek, MD
• John James Slatosky Jr., D.O.
• Ryan E Snipes, OD
• Jennifer Shaw Snotherly, MS, CCC-SLP

• Family Nurse Practitioner in Randleman, NC
• Providers in Randleman, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.