Individual provider Active NPI

Shara Mae Salverda, FNP

  • Family Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1598035925
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201150189NP Issued in OR
Practice address
600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602
Phone
(541) 567-6434
Fax
(541) 567-6019
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201150189NP OR Primary

Addresses

Primary practice location

600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602

Mailing address

600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602
Phone (541) 567-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000541 OR Practitioner - Nurse Practitioner 9638339542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, shared by 5 NPIs, 174 clinicians
Hermiston Medical Center P CGroup PAC ID 9133028798, 10 clinicians

Practice addresses (Care Compare)

1890 7TH St
Umatilla, OR 97882-9826
Phone (541) 567-6434

251 NE Eldrige Dr
Boardman, OR 97818
Phone (541) 567-6434

600 NW 11TH St
Suite E15
Hermiston, OR 97838-8602
Phone (541) 567-6434

Hospital & facility affiliations

  • Good Shepherd Home Health Home health agency, Hermiston, OR, CCN 387090
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201150189NPORMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: shara.salverda.1@31984.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1598035925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-567-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E-15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-567-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVERDA",
        "first_name": "SHARA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201150189NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.