Etta James Salter

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6182 Old Stone CT
Fairfield Township, OH 45011-0001

Phone

(513) 484-7670

NPI assigned

Jul 2, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1679144455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6182 OLD STONE CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450110001",
            "telephone_number": "513-484-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6182 OLD STONE CT",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450110001",
            "telephone_number": "513-484-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "ETTA",
        "middle_name": "JAMES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Roth, PA-C
• Aja Mary Rowekamp
• Anita Russell
• Maria T Rutherford
• Megan Dawn Salisbury
• Typphany Rochelle Samples
• Dayna Schambach
• Keisha Dianne Scott
• Tawnie Nicole Seevers
• Seerin Viviane Shatavi, M.D.

• Community Health Worker in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.