Individual provider Active NPI

Stacie R Santangelo, RN, MS, APN

  • Critical Care Medicine Clinical Nurse Specialist
  • Chicago, IL
National Provider Identifier
1275848244
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
209005000 Issued in IL
Practice address
675 N Saint Clair St Ste 19-100
Northwestern Medical Group
Chicago, IL 60611-5969
Phone
(312) 695-4965
Fax
(312) 695-0005
NPI assigned
Aug 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 209005000 IL Primary

Addresses

Primary practice location

675 N Saint Clair St Ste 19-100
Northwestern Medical Group
Chicago, IL 60611-5969

Mailing address

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Other practice location 1

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

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, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1275848244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 165",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813952",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 19-100",
            "address_2": "NORTHWESTERN MEDICAL GROUP",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115969",
            "telephone_number": "312-695-4965",
            "fax_number": "312-695-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1S450 Summit Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601813952",
            "country_code": "US",
            "telephone_number": "630-320-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "STACIE",
        "middle_name": "R",
        "credential": "RN, MS, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "IL",
            "license": "209005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.