Salome N Agbim, ND, CNS, APRN BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

126175 Issued in CO

Practice address

2400 S Peoria St
100
Aurora, CO 80014-5476

Phone

(303) 306-4321

Fax

(303) 306-4347

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• Assured Healthcare Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Aurora, CO
  • NPI 1003600222
  NPD Authorized official
• Best Care for Wounds of Denver Inc

  • Adult Health Clinical Nurse Specialist
  • Englewood, CO
  • NPI 1457544595
  NPD (past)
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256
  NPD (past)
• Tender Hearts Internal Medicine & Geriatric Care PC

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1265597025
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1528038353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S PEORIA ST",
            "address_2": "100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145476",
            "telephone_number": "303-306-4321",
            "fax_number": "303-306-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S PEORIA ST",
            "address_2": "100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145476",
            "telephone_number": "303-306-4321",
            "fax_number": "303-306-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBIM",
        "first_name": "SALOME",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "ND, CNS, APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CO",
            "license": "126175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99529840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agape Seniors Home Care, LLC
• Agape Service Connections LLC
• Agape Transit LLC
• Ajay Agarwal, M.D.
• Aalok Vijay Agarwala, MD
• Zainab Agboola
• Age in Place Home Health
• Ageless Oasis Home Care LLC
• Ageless Oasis Home Care LLC
• Brian T Agganis, M.D.

• All providers in Aurora, CO
• Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.