Active NPI
Marjorie Salem, FNP
- Nurse Practitioner
- Wauwatosa, WI
National Provider Identifier
1538520580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8994-33
- Practice address
- 2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226 - Phone
- (414) 453-7780
- Fax
- (414) 456-4296
- NPI assigned
- Mar 17, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8994-33 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226
Mailing address
2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226-1308
Phone (414) 453-7780
Other practice location 1
1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 542-2000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8994-33 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1538520580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 1120",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261308",
"telephone_number": "414-453-7780",
"fax_number": "414-456-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD STE 1120",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-453-7780",
"fax_number": "414-456-4296"
}
],
"practiceLocations": [
{
"address_1": "1401 S California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081858",
"country_code": "US",
"telephone_number": "773-542-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALEM",
"first_name": "MARJORIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8994-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.