Individual provider Active NPI

Kara Melinda Santelle

  • Driver
  • Canton, OH
National Provider Identifier
1083930853
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
RP077062 Issued in OH
Practice address
2322 44TH St NW
Canton, OH 44709-2126
Phone
(330) 493-9204
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X RP077062 OH Primary

Addresses

Primary practice location

2322 44TH St NW
Canton, OH 44709-2126

Mailing address

5333 Meadowlark St NW
North Canton, OH 44720-6816
Phone (330) 494-3976

Other identifiers 1

IdentifierTypeStateIssuer
3005769MedicaidOH

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
RP077062OHMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1083930853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MEADOWLARK ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206816",
            "telephone_number": "330-494-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 44TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092126",
            "telephone_number": "330-493-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELLE",
        "first_name": "KARA",
        "middle_name": "MELINDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": "RP077062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.