Active NPI
Nathan Santoni, AT, ATC
- Athletic Trainer
- Hamburg, MI
National Provider Identifier
1083017388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000914
- Practice address
- 10020 Professional Center Dr.
Suite 100
Hamburg, MI 48139 - Phone
- (810) 231-6904
- Fax
- (810) 231-6906
- NPI assigned
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000914 | MI | Primary |
Addresses
Primary practice location
10020 Professional Center Dr.
Suite 100
Hamburg, MI 48139
Mailing address
10020 Professional Center Dr.
Suite 100
Hamburg, MI 48139
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000914 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1083017388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10020 PROFESSIONAL CENTER DR.",
"address_2": "SUITE 100",
"city": "HAMBURG",
"state": "MI",
"postal_code": "48139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10020 PROFESSIONAL CENTER DR.",
"address_2": "SUITE 100",
"city": "HAMBURG",
"state": "MI",
"postal_code": "48139",
"telephone_number": "810-231-6904",
"fax_number": "810-231-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTONI",
"first_name": "NATHAN",
"credential": "AT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.