Justin Salyers

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

232335 Issued in TN

Practice address

929 Walton Dr
Kingsport, TN 37663-2156

Phone

(276) 870-2273

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1710693411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 WALTON DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632156",
            "telephone_number": "276-870-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 WALTON DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632156",
            "telephone_number": "276-870-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYERS",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "232335",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Salami, CRNA
• Brett Tyson Salley, DC
• Cody Phillip Salyer, PHARMD
• Gregory Todd Salyers, OD
• Halie Salyers
• Timothy Edward Salyers, D.C.
• Sam W. Huddleston IV MD PC
• Sam'S Club Optical
• Ashley Samaniego, PMHNP-BC
• Stacey L Sampson

• Registered Nurse in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.