Active NPI
Jonny Lorraine Salyer, M.D.
- Clinical Pathology Physician
- Albuquerque, NM
National Provider Identifier
1548675473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 91-297
- Practice address
- 2441 Ridgecrest Dr SE
Albuquerque, NM 87108-5129 - Phone
- (505) 348-9500
- NPI assigned
- Jun 30, 2014
- 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 |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 91-297 | NM | Primary |
Addresses
Primary practice location
2441 Ridgecrest Dr SE
Albuquerque, NM 87108-5129
Mailing address
1600 Camino de la Sierra NE
Albuquerque, NM 87112-4938
Phone (317) 910-2402
Other names 1
- Miss Jonny Lorraine Gibson
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91-297 | NM | MD | Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1548675473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CAMINO DE LA SIERRA NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124938",
"telephone_number": "317-910-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 RIDGECREST DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085129",
"telephone_number": "505-348-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALYER",
"first_name": "JONNY",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "NM",
"license": "91-297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JONNY",
"last_name": "GIBSON",
"middle_name": "LORRAINE",
"prefix": "MISS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.