Martha Santiago, APRN, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1049956 Issued in TX

Practice address

610 S Cesar Chavez Blvd Apt 5318
Dallas, TX 75201-6055

Phone

(214) 909-4539

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Martha Gallegos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1427726702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S CESAR CHAVEZ BLVD APT 5318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016055",
            "telephone_number": "214-909-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S CESAR CHAVEZ BLVD APT 5318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016055",
            "telephone_number": "214-909-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARTHA",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "GALLEGOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Carl Santangelo, MD
• Patricia Cristina Santiago Munoz, MD
• Dhalma C. Santiago-Jurado, MD
• Juan Luis Santiago, MS, RD
• Julio Cesar Santiago, D.C.
• Natalie Santiago
• Rosanna Santiago, NCC, M.ED., LPC
• Yarett Santibanez, RN
• Carla Patricia Jimenez Santillan, MSN, RN, AGACNP-BC
• Lucely Santillan

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.