Individual provider Active NPI

Nicole Marie Hopping Santos, RN

  • Community Health Registered Nurse
  • Santa Cruz, CA
National Provider Identifier
1144826132
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN95184956 Issued in CA
Practice address
125 Water St Ste A2
Santa Cruz, CA 95060-2786
Phone
(831) 427-3500
Fax
(831) 457-2486
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 758348 NY
School Registered Nurse 163WS0200X RN95184956 CA
Community Health Registered Nurse 163WC1500X RN95184956 CA Primary

Addresses

Primary practice location

125 Water St Ste A2
Santa Cruz, CA 95060-2786

Mailing address

111 Bean Creek Rd Unit 111
Scotts Valley, CA 95066-4148
Phone (510) 870-1670

Other names 1

  • Nicole Hopping Jones Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
758348NYMDRegistered Nurse
RN95184956CAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Community Health Centers PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1144826132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BEAN CREEK RD UNIT 111",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664148",
            "telephone_number": "510-870-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WATER ST STE A2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602786",
            "telephone_number": "831-427-3500",
            "fax_number": "831-457-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPING SANTOS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "758348",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "RN95184956",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN95184956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "JONES",
            "middle_name": "HOPPING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.