Individual provider Active NPI

Kathy Santon, APRN, BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Avon, IN
National Provider Identifier
1306897913
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
70000050A Issued in IN
Practice address
192 N State Road 267
Suite 300
Avon, IN 46123-9513
Phone
(317) 268-6555
Fax
(317) 268-6556
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 70000050A IN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 700000J0A IN

Addresses

Primary practice location

192 N State Road 267
Suite 300
Avon, IN 46123-9513

Mailing address

192 N State Road 267
Suite 300
Avon, IN 46123-9513
Phone (317) 268-6555

Other identifiers 1

IdentifierTypeStateIssuer
200078540MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050516000103 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 8628019122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5410 Royal Troon Way
Avon, IN 46123-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
700000J0AINMDPsychiatric/Mental Health Registered Nurse
70000050AINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Behavioral Health Systems, Incorporated Past Accepting new patients
Indiana Geriatric Associates, P.C. PastSince Apr 1, 2002 Accepting new patients
Major Hospital Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1306897913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-268-6555",
            "fax_number": "317-268-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N STATE ROAD 267",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239513",
            "telephone_number": "317-268-6555",
            "fax_number": "317-268-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTON",
        "first_name": "KATHY",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "70000050A",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "700000J0A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.