Stephanie L Salbato, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0990547 Issued in 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

Last updated

Mar 17, 2016By the provider in NPPES

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 names 1

• Stephanie L Velasquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18256/brand/1/csg/1/fhir/r4
• Direct secure messaging: stephanie.salbato@388266324721668.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lil Buckaroo Pediatrics

  • Primary Care Clinic/Center
  • Fowler, CO
  • NPI 1780429472
  NPD Authorized official
• Small World Pediatrics LLC

  • Pediatrics Physician
  • Pueblo, CO
  • NPI 1619059722
  NPD (past)

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1639416555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR",
            "address_2": "150",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810076151",
            "telephone_number": "719-253-7640",
            "fax_number": "719-253-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR",
            "address_2": "SUITE 150",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810076151",
            "telephone_number": "719-253-7640",
            "fax_number": "719-253-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALBATO",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0990547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "VELASQUEZ",
            "middle_name": "L",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Anthony Salazar, CAS
• Nicole Salazar
• Roberta Salazar, LCSW
• Rose Salazar
• Tracy Lynn Salazar, LPC
• Eddie Saldana
• Tiffaney E Salerno, COTA/L
• Laura J Sales, LCSW
• Althea Mae Salgado, PTA
• Benjamin C. Salinas, DPT

• Pediatric Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.