Active NPI
Josephine Rose Salazar, AGNP-BC
- Primary Care Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1720566235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP138154
- Practice address
- 5282 Medical Dr Ste 500
San Antonio, TX 78229-6071 - Phone
- (210) 526-4784
- Fax
- (210) 615-7778
- NPI assigned
- Aug 6, 2018
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP138154 | TX | Primary |
| Urology Registered Nurse | 163WU0100X | 799378 | TX | |
| Urology Physician | 208800000X | AP138154 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | AP138154 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP138154 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | AP138154 | TX |
Addresses
Primary practice location
5282 Medical Dr Ste 500
San Antonio, TX 78229-6071
Mailing address
15212 Selene VW
San Antonio, TX 78245-4666
Phone (210) 268-8552
Other practice location 1
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-6225
Other practice location 2
9618 Huebner Rd
San Antonio, TX 78240-1660
Phone (210) 617-3670
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 799378 | TX | MD | Urology Registered Nurse |
| AP138154 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1720566235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15212 SELENE VW",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454666",
"telephone_number": "210-268-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5282 MEDICAL DR STE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296071",
"telephone_number": "210-526-4784",
"fax_number": "210-615-7778"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-292-6225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9618 Huebner Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782401660",
"country_code": "US",
"telephone_number": "210-617-3670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAZAR",
"first_name": "JOSEPHINE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "AGNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP138154",
"primary": true
},
{
"code": "163WU0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Urology",
"state": "TX",
"license": "799378",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "AP138154",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP138154",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP138154",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP138154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.