Active NPI
Sharon Salmon
- Licensed Practical Nurse
- Glen Cove, NY
National Provider Identifier
1720267370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 206432-1
- Practice address
- 54 Viola Dr
Glen Cove, NY 11542-3326 - Phone
- (917) 225-8300
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 206432-1 | NY | Primary |
Addresses
Primary practice location
54 Viola Dr
Glen Cove, NY 11542-3326
Mailing address
11449 175TH PL
Jamaica, NY 11434-1307
Phone (718) 523-6201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01396827 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206432-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1720267370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11449 175TH PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341307",
"telephone_number": "718-523-6201",
"fax_number": "718-776-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 VIOLA DR",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115423326",
"telephone_number": "917-225-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "206432-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01396827",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.