Sante' Mama LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SANTE' MAMA LLC

Practice address

113 NE 92ND Ave
Vancouver, WA 98664-2541

Phone

(360) 253-2229

Fax

(360) 944-0606

NPI assigned

Sep 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Erica MattesonNPI 1700192663

Title

Office Manager

Phone

(360) 253-2229

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Lynn Matteson, CD(DONA), PCD(DONA)

  • Doula
  • Vancouver, WA
  • NPI 1700192663
  NPD (past) Authorized official
• Kelly S Dean, MPT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1093094856
  NPD (past)

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1295042299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE 92ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642541",
            "telephone_number": "360-253-2229",
            "fax_number": "360-944-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NE 92ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642541",
            "telephone_number": "360-253-2229",
            "fax_number": "360-944-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTE' MAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "MATTESON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-253-2229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009709",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Ellen Sandstrom, MS
• Deborah L Saner, M.D.
• Tiffany Sanford
• Paurin Sangpatson, M.D.
• Kara Ann Sansbury, LMP
• Kristina Santiago
• Wilhelmina Matienzo Santiago, M.D.
• Santiam Acuspa, LLC
• Flordelys Castro-Santillan Santiano, MD
• Rene B Santiano, MD

• Durable Medical Equipment & Medical Supplies in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.