Individual provider Active NPI

Nickeey Kissian Salmon, M.D.

  • Pediatrics Physician
  • Leesburg, FL
National Provider Identifier
1942380977
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME99391 Issued in FL
Practice address
8245 County Road 44 Leg a Ste 2
Leesburg, FL 34788-3751
Phone
(407) 955-4445
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TRN7776 FL
Pediatrics Physician 208000000X ME99391 FL Primary

Addresses

Primary practice location

8245 County Road 44 Leg a Ste 2
Leesburg, FL 34788-3751

Mailing address

8245 County Road 44 Leg a Ste 2
Leesburg, FL 34788-3751
Phone (352) 326-3366

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99391FLMDPediatrics Physician
TRN7776FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricians of Florida Pediatrics CurrentSince Jan 1, 2025 Accepting new patients

Locations

8245 County Road 44 Leg A
Ste 2
Leesburg, FL 34788
Phone (352) 326-3366

820 W Lake Mary Blvd
Ste 102
Sanford, FL 32773
Phone (407) 321-6644

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24344/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nickeey.salmon.1@28800.direct.athenahealth.com
  • Direct secure messaging: nickeey.malcolm.1@24344.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1942380977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A STE 2",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "352-326-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 COUNTY ROAD 44 LEG A STE 2",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883751",
            "telephone_number": "407-955-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "NICKEEY",
        "middle_name": "KISSIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "TRN7776",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME99391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.