Active NPI
Laura Anne Santos, LAT, ATC
- Athletic Trainer
- Winston Salem, NC
National Provider Identifier
1306862024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0999
- Practice address
- 1533 S Main St
Wellness Center
Winston Salem, NC 27127-2738 - Phone
- (336) 770-3288
- NPI assigned
- Jul 14, 2006
- Last updated
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0999 | NC | Primary |
Addresses
Primary practice location
1533 S Main St
Wellness Center
Winston Salem, NC 27127-2738
Mailing address
1533 S Main St
Wellness Center
Winston Salem, NC 27127-2738
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0999 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC School of Arts | Past | Accepting new patients |
Organizations & group practices 1
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": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1306862024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 S MAIN ST",
"address_2": "WELLNESS CENTER",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 S MAIN ST",
"address_2": "WELLNESS CENTER",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272738",
"telephone_number": "336-770-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.