| Mr Lane Richard Salazar, DNP, APN | |
| 
					302 N Greenwood Ave, Fort Smith, AR 72901-3454  | |
| (479) 414-4467 | |
| Not Available | 
| Full Name | Mr Lane Richard Salazar | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 302 N Greenwood Ave, Fort Smith, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821419094 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | R74308 (Arkansas) | Secondary | 
| 363L00000X | Nurse Practitioner | A004003 (Arkansas) | Primary | 
| Entity Name | Cherokee Nation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628  | 
| Entity Name | Openloop Healthcare Partners Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210527001998  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Lane Richard Salazar, DNP, APN 302 N Greenwood Ave, Fort Smith, AR 72901-3454 Ph: (479) 414-4467  | Mr Lane Richard Salazar, DNP, APN 302 N Greenwood Ave, Fort Smith, AR 72901-3454 Ph: (479) 414-4467  | 
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340  | |
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600  | |
Mandi T Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242  | |
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708  | |
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850  | |
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000  | |
Dabney Herrold, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3420 S 74th St, Fort Smith, AR 72903 Phone: 479-573-3740  |