Active NPI
Sussy J Salazar, BSN
- Registered Nurse
- Scottsdale, AZ
National Provider Identifier
1891468906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 255611
- Practice address
- 8687 E Via de Ventura Ste 110
Scottsdale, AZ 85258-3351 - Phone
- (480) 609-9000
- NPI assigned
- Jul 26, 2021
- Last updated
- Jul 26, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 255611 | AZ | Primary |
Addresses
Primary practice location
8687 E Via de Ventura Ste 110
Scottsdale, AZ 85258-3351
Mailing address
8687 E Via de Ventura Ste 110
Scottsdale, AZ 85258-3351
Phone (480) 609-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255611 | Other | AZ | REGISTERED NURSE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://hh.kantimehealth.net/ | Health Information Exchange (HIE) |
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
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255611 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dependable Nurses of Phoenix, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thrive Skilled Pediatric Care
- Home Health Agency
- Scottsdale, AZ
- NPI 1245323294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1891468906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8687 E VIA DE VENTURA STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583351",
"telephone_number": "480-609-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8687 E VIA DE VENTURA STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583351",
"telephone_number": "480-609-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "SUSSY",
"middle_name": "J",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "255611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "255611",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://hh.kantimehealth.net/",
"affiliation": "N",
"endpointDescription": "Online charting",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8687 E Via De Ventura Ste 110",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852583351",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.