Individual provider Active NPI

Leanna Marie Saltarello

  • Specialist
  • Salem, OR
National Provider Identifier
1770823171
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18195 Issued in OR
Practice address
401 Ratcliff Dr SE
Suite 130
Salem, OR 97302-4581
Phone
(503) 999-8731
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18195 OR Primary

Addresses

Primary practice location

401 Ratcliff Dr SE
Suite 130
Salem, OR 97302-4581

Mailing address

4625 Jones Rd SE
Salem, OR 97302-4829
Phone (503) 999-8731

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

LicenseStateTypeSpecialty
18195ORMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1770823171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 JONES RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024829",
            "telephone_number": "503-999-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RATCLIFF DR SE",
            "address_2": "SUITE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024581",
            "telephone_number": "503-999-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTARELLO",
        "first_name": "LEANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "18195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.