Active NPI
Laine Nicole Santamaria, MS, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1174847156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06661
- Practice address
- 1140 Business Center Dr
Suite 300
Houston, TX 77043-2737 - Phone
- (713) 464-9776
- NPI assigned
- Mar 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06661 | TX | Primary |
| Medical Physician Assistant | 363AM0700X | PA-3258 | CO |
Addresses
Primary practice location
1140 Business Center Dr
Suite 300
Houston, TX 77043-2737
Mailing address
PO Box 3278
Pearland, TX 77588-3278
Phone (713) 464-9776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305127801 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-3258 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Infectious Disease Specialists of Houston, P.a. | Past | 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 and National Provider Directory roles.
-
- Pediatric Infectious Diseases Physician
- Houston, TX
- NPI 1023015013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1174847156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3278",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775883278",
"telephone_number": "713-464-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 BUSINESS CENTER DR",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770432737",
"telephone_number": "713-464-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTAMARIA",
"first_name": "LAINE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-20",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06661",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA-3258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305127801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.