Magno C. Santos MSN, FNP-C PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MAGNO C. SANTOS MSN, FNP-C PLLC

Doing business as

Sunrise Mobile Medicine

Practice address

2300 N Yellowstone Hwy Ste 104
Idaho Falls, ID 83401-1662

Phone

(208) 538-1963

Fax

(208) 615-8005

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Magno C. Santos, FNP

Title

Owner

Phone

(801) 503-7712

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Mobile Medicine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Despain, FNP-BC

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1700594967
  NPD (past)
• Valerie Erickson

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1619651452
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1013341254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N YELLOWSTONE HWY STE 104",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011662",
            "telephone_number": "208-538-1963",
            "fax_number": "208-615-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N YELLOWSTONE HWY STE 104",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011662",
            "telephone_number": "208-538-1963",
            "fax_number": "208-615-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNO C. SANTOS MSN, FNP-C PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MAGNO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-503-7712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTPID015961",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Mobile Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Diane Maddock
• Madison Avenue Surgery Center LLC
• Madison Avenue Surgery Center LLC
• Catherine Jaylinn Madrid
• Jessica Magner
• Magno C. Santos MSN, FNP-C PLLC (SunRise Mobile Medicine)
• Magno C. Santos MSN, FNP-C PLLC (SunRise Mobile Medicine)
• Jude Garek Maki
• McKenna Malloy
• Ashley Lane Maloney, L.M.T.

• Family Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.