Active NPI
Laura Vuelvas Salcido, PA
- Medical Physician Assistant
- Midland, TX
National Provider Identifier
1669755906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA06569
- Practice address
- 709 W Louisiana Ave
Midland, TX 79701-3248 - Phone
- (432) 221-3100
- Fax
- (432) 221-3121
- NPI assigned
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA06569 | TX | Primary |
Addresses
Primary practice location
709 W Louisiana Ave
Midland, TX 79701-3248
Mailing address
1220 W University Blvd
Odessa, TX 79764-7118
Phone (432) 332-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA06569 | Other | TX | PHYSICIAN ASSISTANT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.salcido.1@3522.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06569 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physicians | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- laura.salcido.1@3522.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1356374854
-
- General Practice Physician
- Midland, TX
- NPI 1275522864
-
- Physician Assistant
- Midland, TX
- NPI 1316241995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1669755906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647118",
"telephone_number": "432-332-6600",
"fax_number": "432-332-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W LOUISIANA AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013248",
"telephone_number": "432-221-3100",
"fax_number": "432-221-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCIDO",
"first_name": "LAURA",
"middle_name": "VUELVAS",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA06569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA06569",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.salcido.1@3522.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "709 W Louisiana Ave",
"city": "Midland",
"state": "TX",
"country_code": "US",
"postal_code": "797013248",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.