Rasia Mykono Santiago, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201030371LPN Issued in OR

Practice address

151 W 7TH Ave
Eugene, OR 97401-1100

Phone

(541) 682-3550

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lane County Oregon

  dba Community health Centers of Lane County

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  NPD (past)

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1043588148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 GARFIELD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051547",
            "telephone_number": "541-232-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "541-682-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "RASIA",
        "middle_name": "MYKONO",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201030371LPN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSURE",
            "identifier": "201030371LPN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamal Sankari, LMT
• Santa Clara Medical Clinic, P.C.
• Therese Angel Santana, ND
• Darcy Annabelle-Basque Santero, M.S. SLP-CCC
• Barbara Santiago
• John Santin, LPC
• Santino Consulting LLC
• Karen Leslie Sanz, M. S., L.M.T.
• Melissa Mae Sapp
• Tyler L Saraceno

• Licensed Practical Nurse in Eugene, OR
• Providers in Eugene, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.