Active NPI
Randie R Salmon, FNP
- Family Nurse Practitioner
- Johnstown, NY
National Provider Identifier
1770582256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332395-1
- Practice address
- 700 S Perry St
Johnstown Health Center
Johnstown, NY 12095-3213 - Phone
- (518) 762-3161
- Fax
- (518) 762-4902
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332395-1 | NY | Primary |
Addresses
Primary practice location
700 S Perry St
Johnstown Health Center
Johnstown, NY 12095-3213
Mailing address
427 Guy Park Ave
St. Mary'S Healthcare
Amsterdam, NY 12010-1054
Phone (518) 841-7430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141347719 | Other | NY | BCBS U/W |
| 490811002 | Other | NY | B/S |
| 02328536 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830
700 S Perry St
Johnstown, NY 12095-3213
Phone (518) 762-3161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F332395-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Healthcare | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Current | Accepting new patients | |
| St Marys Healthcare | Current | Accepting new patients | |
| Mayer and Cope Family Practice LLP | Past | Accepting new patients | |
| St. Mary'S Healthcare | Past | Accepting new patients |
Locations
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1518926401
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Amsterdam, NY
- NPI 1700636347
-
- Family Medicine Physician
- Broadalbin, NY
- NPI 1932293651
-
- Psychiatric Hospital Unit
- Amsterdam, NY
- NPI 1164497103
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1811977796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1770582256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 GUY PARK AVE",
"address_2": "ST. MARY'S HEALTHCARE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101054",
"telephone_number": "518-841-7430",
"fax_number": "518-841-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PERRY ST",
"address_2": "JOHNSTOWN HEALTH CENTER",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120953213",
"telephone_number": "518-762-3161",
"fax_number": "518-762-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "RANDIE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332395-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS U/W",
"identifier": "141347719",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/S",
"identifier": "490811002",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02328536",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.