Gabriella De Santiago

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA10184 Issued in AZ

Practice address

20470 N Lake Pleasant Rd Ste 107
Peoria, AZ 85382-9708

Phone

(623) 248-3324

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1013469154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 N COTTON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889618",
            "telephone_number": "602-748-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 107",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-248-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANTIAGO",
        "first_name": "GABRIELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahlil Amber Day
• Lorena Luz De Alejandro, FNP-C
• Lisa De Croix-Denton
• Korina Irish Lynne Tolentino De Los Santos
• Luyi De Prada, MD
• Haeley Deason, PA-C
• Talia I Debrigida, M.S. BCBA
• Weston Debry, PA-C
• Sandra Lee Decarlo, DNP, FNP-C, CWOCN
• Derek Paul Decora

• Speech-Language Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.