Individual provider Active NPI

Anne W Salomone, RN-C, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1891846127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
Practice address
4119 W Shamrock LN
McHenry, IL 60050-8289
Phone
(815) 344-1611
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X IL Primary

Addresses

Primary practice location

4119 W Shamrock LN
McHenry, IL 60050-8289

Mailing address

71 Burning Bush TRL
Crystal Lake, IL 60012-3618
Phone (815) 459-5563

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
041-236399ILMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891846127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BURNING BUSH TRL",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123618",
            "telephone_number": "815-459-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W SHAMROCK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508289",
            "telephone_number": "815-344-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMONE",
        "first_name": "ANNE",
        "middle_name": "W",
        "credential": "RN-C, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.