Kristina Desiree Santos, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

337282 Issued in NY

Practice address

142 N Putt Corners Rd
New Paltz, NY 12561-3406

Phone

(914) 799-0722

Fax

(845) 255-2906

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1376804104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 N PUTT CORNERS RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613406",
            "telephone_number": "914-799-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N PUTT CORNERS RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613406",
            "telephone_number": "914-799-0722",
            "fax_number": "845-255-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "KRISTINA",
        "middle_name": "DESIREE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03733906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin D Rynne, P.T.
• Marcy Rynne, OTR
• S Piowaty Inc
• Theresa Sagala
• Xiangie Valeris Salgado Vazquez, B.S.N, R.N
• Sharon Sarra
• Lara Savelson, MS; CCC-SLP
• Julie Scally, PT
• Maria Luisa Scarangella, LMSW
• David Schaffer, LICSW

• Family Nurse Practitioner in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.