Individual provider Active NPI

Junice Justine Santa Ana, RN, BSN

  • Home Health Registered Nurse
  • Shokan, NY
National Provider Identifier
1275858763
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
485923-1 Issued in NY
Practice address
47 Mountain Rd
Shokan, NY 12481
Phone
(845) 339-6683
Fax
(845) 339-6715
NPI assigned
Mar 29, 2010
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 485923-1 NY Primary

Addresses

Primary practice location

47 Mountain Rd
Shokan, NY 12481

Mailing address

918 Ulster Avenue
Kingston, NY 12401-1344
Phone (845) 339-6683

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
485923-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1275858763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ULSTER AVENUE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011344",
            "telephone_number": "845-339-6683",
            "fax_number": "845-339-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MOUNTAIN RD",
            "city": "SHOKAN",
            "state": "NY",
            "postal_code": "12481",
            "telephone_number": "845-339-6683",
            "fax_number": "845-339-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA ANA",
        "first_name": "JUNICE",
        "middle_name": "JUSTINE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "485923-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shokan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.