Active NPI
Sana Walter John Augustine, MD
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
National Provider Identifier
1144075706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 57.259607
- Practice address
- 333 Glendale Avenue
Toledo, OH 43623 - Phone
- (419) 383-5555
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.259607 | OH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2024-0037 | NM |
Addresses
Primary practice location
333 Glendale Avenue
Toledo, OH 43623
Mailing address
PO Box 158
Espanola, NM 87532-0158
Phone (505) 579-4255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260216001630 | OH | Order and Referring Only - Family Practice | 5799220117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2024-0037 | NM | MD | Student in an Organized Health Care Education/Training Program |
| 57.259607 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Primary Care Training Consortium | Student in an Organized Health Care Education/Training Program | Current | Accepting new patients |
| El Centro Family Health | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143
Interoperability endpoints
- saugustine390972@christushealth.direct-ci.net
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.
-
- Student in an Organized Health Care Education/Training Program
- Espanola, NM
- NPI 1528811775
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1144075706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875320158",
"telephone_number": "505-579-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GLENDALE AVENUE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43623",
"telephone_number": "419-383-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "SANA",
"middle_name": "WALTER JOHN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-18",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57.259607",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2024-0037",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.