Stephanie Salas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

300744 Issued in AZ

Practice address

9169 W Van Buren St
Tolleson, AZ 85353-2942

Phone

(623) 233-6676

NPI assigned

Oct 16, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Family Medicine LLCGroup PAC ID 5092007427, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

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.

• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1477908085
  Medicare reassignment Care Compare group NPD
• American Family Medicine LLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1164287124

  Family

  NPD
• American Family Medicine LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1184489148
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1912789900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 W VAN BUREN ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532942",
            "telephone_number": "623-233-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9169 W VAN BUREN ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853532942",
            "telephone_number": "623-233-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "300744",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN208280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Romero, PHARMD
• Mary L. Romero, MPT
• Lauren Roof
• Ronal Ruiz, DMD
• Zehra Sadique, FNP-C
• Salmart, LLC
• Hector Alexander Sandoval, PHARMD
• Donald Carl Scicchitano, RPA
• Jana Lynn Scott, FNP-BC
• Mavis Scott

• Family Nurse Practitioner in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.

Verify at the official NPI Registry.