Nicole Santillo, MA CCC SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019268 Issued in NY

Practice address

1953 State Route 302
Circleville, NY 10919-3213

Phone

(845) 744-2031

NPI assigned

Jun 30, 2010

Last updated

Oct 12, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Pine Bush Central School District

  • Local Education Agency (LEA)
  • Pine Bush, NY
  • NPI 1144370867
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1083925432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 ROUTE 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125667130",
            "telephone_number": "845-649-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 STATE ROUTE 302",
            "city": "CIRCLEVILLE",
            "state": "NY",
            "postal_code": "109193213",
            "telephone_number": "845-744-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLO",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serra Ercil
• Emily M Levi
• Brittany Mauro, NP
• Rosa I Nieves
• Christine Sergio Quinlan, FNP-BC
• Laura Georgina Stein
• Tamara Sullivan
• Stuart M Tashman, MD
• Geraldine Patricia Trapp, RN, APRN
• Matthew James Walter, REGISTERED NURSE

• Speech-Language Pathologist in Circleville, NY
• Providers in Circleville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.