Salty Ice LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SALTY ICE LLP

Practice address

910 N Curtis Rd
Boise, ID 83706-1308

Phone

(208) 917-9799

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Joel Salter, NPNPI 1487831129

Title

Partner

Phone

(435) 229-2285

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Jayson Salter, D.C., FNP-C, PMHNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1487831129

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1891350658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061308",
            "telephone_number": "208-917-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061308",
            "telephone_number": "208-917-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTY ICE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "435-229-2285",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sallstrom, DO
• Salmon River Serenity Wellness PLLC
• Clay Salmon, LCSW
• Marcia Kortum Salovich, MS CCC-SLP
• James Armstrong Saltsman III, M.D., M.P.H.
• Salus Counseling, LLC
• Abagail Salvesen
• Carmen Salyer, FNP-C
• Todd Allen Salzsieder, PA
• Amanda Sample, PHARM.D.

• Family Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.