Individual provider Active NPI

Rosangela Santos-Kolp, LPN

  • Licensed Practical Nurse
  • Fort Pierce, FL
National Provider Identifier
1386134237
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5203542 Issued in FL
Practice address
4178 Gator Trace Villas Cir Apt B
Fort Pierce, FL 34982-5279
Phone
(772) 971-8830
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5203542 FL Primary

Addresses

Primary practice location

4178 Gator Trace Villas Cir Apt B
Fort Pierce, FL 34982-5279

Mailing address

4178 Gator Trace Villas Cir Apt B
Fort Pierce, FL 34982-5279
Phone (772) 971-8830

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

LicenseStateTypeSpecialty
PN5203542FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1386134237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 GATOR TRACE VILLAS CIR APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825279",
            "telephone_number": "772-971-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 GATOR TRACE VILLAS CIR APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825279",
            "telephone_number": "772-971-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-KOLP",
        "first_name": "ROSANGELA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5203542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.