Active NPI
Anali Santos
- Nurse's Aide
- Gooding, ID
National Provider Identifier
1235632662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - Phone
- (208) 934-5237
- Fax
- (208) 394-4874
- NPI assigned
- Mar 12, 2018
- Last updated
- Mar 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NU | Primary |
Addresses
Primary practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Mailing address
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-5237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1370131 | Other | ID | MEDICARE PART B |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1235632662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-5237",
"fax_number": "208-394-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-5237",
"fax_number": "208-394-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "ANALI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "1370131",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gooding, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.