Ivie Santiago

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

187 Wayfair LN
Hinesville, GA 31313-8307

Phone

(912) 980-4030

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2019.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1215587779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WAYFAIR LN",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138307",
            "telephone_number": "912-980-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WAYFAIR LN",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313138307",
            "telephone_number": "912-980-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "IVIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Saleh, MD
• Shanicqua Leola Saliu
• Kyle Sanders-Jefferson, NURSE PRACTITIONER
• Jodi O. Santana, LMFT
• Elimelec Santiago, M.D.
• Edgardo Santosvargas
• Khalea Sapp-Brown
• Tracy Sarpong
• John S. Sarzier, M.D.
• Sidra Satterfield, RBT

• All providers in Hinesville, GA
• Attendant Care Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.