Active NPI
Rachel Marie Santos, APRN
- Gerontology Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11015178
- Practice address
- 258 S Chickasaw TRL Ste 310
Orlando, FL 32825-3501 - Phone
- (844) 665-4827
- Fax
- (855) 712-2362
- NPI assigned
- Nov 30, 2021
- Last updated
- Nov 30, 2021
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11015178 | FL | Primary |
Addresses
Primary practice location
258 S Chickasaw TRL Ste 310
Orlando, FL 32825-3501
Mailing address
356 Clemson Dr
Altamonte Springs, FL 32714-4102
Phone (407) 920-6570
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
258 S Chickasaw TRL
Suite 310
Orlando, FL 32825-3501
Phone (844) 665-4827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015178 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
258 S Chickasaw Trl
Ste 310
Orlando, FL 32825
Phone (407) 281-9229
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1437817152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 CLEMSON DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327144102",
"telephone_number": "407-920-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 S CHICKASAW TRL STE 310",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328253501",
"telephone_number": "844-665-4827",
"fax_number": "855-712-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "RACHEL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11015178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.