Active NPI
Jean Marie Pallas Santaguida, ARNP
- Adult Health Nurse Practitioner
- Tavernier, FL
National Provider Identifier
1396033841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP2098562
- Practice address
- 91500 Overseas Hwy
Mariners Hospital
Tavernier, FL 33070 - Phone
- (305) 434-3000
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP2098562 | FL | Primary |
Addresses
Primary practice location
91500 Overseas Hwy
Mariners Hospital
Tavernier, FL 33070
Mailing address
PO Box 698
Long Key, FL 33001-0698
Phone (305) 304-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125002369 | FL | Order and Referring Only - Nurse Practitioner | 2769785716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2098562 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1396033841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "LONG KEY",
"state": "FL",
"postal_code": "330010698",
"telephone_number": "305-304-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91500 OVERSEAS HWY",
"address_2": "MARINERS HOSPITAL",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "33070",
"telephone_number": "305-434-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAS SANTAGUIDA",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP2098562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavernier, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.