Stephanie L Salbato, PNP
Individual provider Active NPI Pediatric Nurse Practitioner · Pueblo, CO
NPI 1639416555 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1639416555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 0990547 (CO)
- Practice address
- 332 S Orchard Springs Dr
Suite 150
Pueblo, CO 81007-6151 - Phone
- (719) 253-7640
- Fax
- (719) 253-7644
- NPI assigned
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0990547 | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lil Buckaroo Pediatrics | Current | Accepting new patients | |
| Small World Pediatrics LLC | Past | Accepting new patients |
Interoperability endpoints
- stephanie.salbato@388266324721668.direct.elationemr.com
- https://api.platform.athenahealth.com/18256/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0990547 | CO | Yes |
Addresses
Primary practice location
332 S Orchard Springs Dr
Suite 150
Pueblo, CO 81007-6151
Mailing address
332 S Orchard Springs Dr
150
Pueblo, CO 81007-6151
Phone (719) 253-7640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00204064 | Medicaid | CO |
Other names
- Stephanie L Velasquez
Other providers in Pueblo, CO
- Mark Anthony Salazar
- Nicole Salazar
- Roberta Salazar
- Rose Salazar
- Tracy Lynn Salazar
- Eddie Saldana
- Tiffaney E Salerno
- Laura J Sales
- Althea Mae Salgado
- Benjamin C. Salinas
All providers in Pueblo, CO · Pediatric Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.