Active NPI
Veteran's Administration
- Nursing Facility/Intermediate Care Facility
- Dayton, OH
National Provider Identifier
1124211156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 015284
- Legal business name
- VETERAN'S ADMINISTRATION
- Practice address
- 4100 W 3Rd St
Dayton, OH 45428-9000 - Phone
- (937) 268-6511
- NPI assigned
- Aug 22, 2007
- Last updated
- Aug 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nereida C Santiago, RN
- Title
- Wound and Skin Nurse
- Phone
- (937) 268-6511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 015284 | PR | Primary |
Addresses
Primary practice location
4100 W 3Rd St
Dayton, OH 45428-9000
Mailing address
6375 Marbury CT
Huber Heights, OH 45424-3671
Phone (937) 237-8302
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1124211156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6375 MARBURY CT",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243671",
"telephone_number": "937-237-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 3RD ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454289000",
"telephone_number": "937-268-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VETERAN'S ADMINISTRATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "NEREIDA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "WOUND AND SKIN NURSE",
"authorized_official_telephone_number": "937-268-6511",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "PR",
"license": "015284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.