Individual provider Active NPI

Estefania Lopez Santana, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Winder, GA
National Provider Identifier
1063188233
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011541 Issued in GA
Practice address
952 Haymon Dr
Winder, GA 30680-5302
Phone
(678) 266-8793
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP011541 GA Primary

Addresses

Primary practice location

952 Haymon Dr
Winder, GA 30680-5302

Mailing address

952 Haymon Dr
Winder, GA 30680-5302

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Florece Therapy Services LLC Speech-Language Pathologist CurrentSince Jun 9, 2024 Accepting new patients
Esperanza Therapy Services LLC CurrentSince Mar 20, 2022 Accepting new patients
Rightstart Therapy Service, Inc. Speech-Language Pathologist PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1063188233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 HAYMON DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306805302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 HAYMON DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306805302",
            "telephone_number": "678-266-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ SANTANA",
        "first_name": "ESTEFANIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-09-19",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.