Individual provider Active NPI

Iolante Santos, NP-C

  • Gerontology Nurse Practitioner
  • Plno, TX
National Provider Identifier
1235806399
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1049020 Issued in TX
Practice address
3004 Cickett Dr.
3004 Crickett Dr.
Plno, TX 75023
Phone
(469) 756-8800
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1049020 TX Primary

Addresses

Primary practice location

3004 Cickett Dr.
3004 Crickett Dr.
Plno, TX 75023

Mailing address

524 Basilica LN
McKinney, TX 75071-5136
Phone (142) 914-5228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230424001972 TX Practitioner - Nurse Practitioner 7214392489 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewel Ahmed Hospitalist PLLCGroup PAC ID 2961745856, 3 clinicians

Practice addresses (Care Compare)

2459 E Hebron Pkwy
100 Advanced Physiatry Group
Carrollton, TX 75010-4477
Phone (469) 971-3188

6800 Preston Rd
Plano, TX 75024-2505
Phone (806) 355-6593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1049020TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewel Ahmed Hospitalist PLLC CurrentSince Jan 13, 2023 Accepting new patients
Versoal, PLLC CurrentSince May 10, 2023 Accepting new patients
Questcare Matrix, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Rinaz, PLLC CurrentSince Jan 11, 2025 Accepting new patients
Questcare Matrix, PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

2459 E Hebron Pkwy
Ste 100
Carrollton, TX 75010
Phone (469) 971-3188

10700 Rolater Rd
Frisco, TX 75035
Phone (972) 712-8652

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

6009 W Parker Rd
Ste 149389
Plano, TX 75093

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

Organizations & group practices 5

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1235806399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BASILICA LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715136",
            "telephone_number": "142-914-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CICKETT DR.",
            "address_2": "3004 CRICKETT DR.",
            "city": "PLNO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "469-756-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "IOLANTE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1049020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.