Anthony Vincent Santalucia, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024176566 Issued in VA

Practice address

2004 Bremo Rd Ste 201
Richmond, VA 23226-2442

Phone

(804) 272-2000

Fax

(804) 272-2030

NPI assigned

Aug 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dominion Outpatient Services LLCGroup PAC ID 5395996920, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Dominion Outpatient Services, LLC

  dba Dominion Outpatient Services

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1790932911
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1023596947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 BREMO RD STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262442",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 BREMO RD STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262442",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTALUCIA",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001265510",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayri E Sangiray, DO
• Emil F Saniev, PHARMD
• Saketh Sankara
• Marie A Sankaran Raval, M.D.
• Sankofa Resilience
• Nicholas Daniel Santalucia, LNP
• Gail E Santarelli, LPC, LSATP, NCC
• Alejandro Santillan Cadenillas, M.D.
• Rodrigo S Santillan, PA-C
• Amanda Lynn Santoro, RN

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.