Individual provider Active NPI

Anneliesse Santana Hernandez

  • Case Management Agency
  • Miami Lakes, FL
National Provider Identifier
1376177345
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Practice address
6447 Miami Lakes Dr Ste 203J
Miami Lakes, FL 33014-2703
Phone
(786) 542-5018
Fax
(786) 542-5063
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6447 Miami Lakes Dr Ste 203J
Miami Lakes, FL 33014-2703

Mailing address

6447 Miami Lakes Dr Ste 203J
Miami Lakes, FL 33014-2703
Phone (786) 542-5018

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL miami

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

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Alf, Inc Current Accepting new patients
Second Chance Case Management Inc Case Management PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1376177345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR STE 203J",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142703",
            "telephone_number": "786-542-5018",
            "fax_number": "786-542-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR STE 203J",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142703",
            "telephone_number": "786-542-5018",
            "fax_number": "786-542-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA HERNANDEZ",
        "first_name": "ANNELIESSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "6447 Miami Lakes Dr Ste 203J",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.