Active NPI
Nickeey Kissian Salmon, M.D.
- Pediatrics Physician
- Leesburg, FL
National Provider Identifier
1942380977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME99391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME99391 | FL | MD | Pediatrics Physician |
| TRN7776 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatricians of Florida | Pediatrics | Current | 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
- https://api.platform.athenahealth.com/24344/brand/1/csg/1/fhir/r4
- nickeey.salmon.1@28800.direct.athenahealth.com
- 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.
-
- Pediatrics Physician
- Leesburg, FL
- NPI 1619339264
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.