Individual provider Active NPI

Carolyn Elaine Santiago, NP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1336387786
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15469 Issued in CA
Practice address
7409 Feather River Dr
Bakersfield, CA 93308-6452
Phone
(661) 588-4726
Fax
(661) 588-0722
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15469 CA Primary

Addresses

Primary practice location

7409 Feather River Dr
Bakersfield, CA 93308-6452

Mailing address

7409 Feather River Dr
Bakersfield, CA 93308-6452
Phone (661) 588-4726

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

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1336387786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 FEATHER RIVER DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086452",
            "telephone_number": "661-588-4726",
            "fax_number": "661-588-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 FEATHER RIVER DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086452",
            "telephone_number": "661-588-4726",
            "fax_number": "661-588-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CAROLYN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.