Individual provider Active NPI

Alexandra Cecille Infanzon Santiago, DMSC, MPH, PA-C

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1033749411
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10359 Issued in NC
Practice address
24 2ND Ave NE Ste 201
Hickory, NC 28601-5045
Phone
(828) 324-9900
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 001010359 NC
Physician Assistant 363A00000X 0010-10359 NC Primary

Addresses

Primary practice location

24 2ND Ave NE Ste 201
Hickory, NC 28601-5045

Mailing address

24 2ND Ave NE Ste 201
Hickory, NC 28601-5045
Phone (828) 324-9900

Other practice location 1

280 Executive Park Dr Ste 100
Concord, NC 28025-1838
Phone (704) 237-4240

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

State licenses

LicenseStateTypeSpecialty
001010359NCMDPsychiatry Physician
0010-10359NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: alex.infanzon.p1@direct.hickorypsych.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1033749411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 2ND AVE NE STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015045",
            "telephone_number": "828-324-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 2ND AVE NE STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015045",
            "telephone_number": "828-324-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Executive Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251838",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INFANZON SANTIAGO",
        "first_name": "ALEXANDRA",
        "middle_name": "CECILLE",
        "credential": "DMSC, MPH, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "001010359",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.