Individual provider Active NPI

Denice Angela Santa Maria, M.S. , CCC-SLP

  • Speech-Language Pathologist
  • Kalamazoo, MI
National Provider Identifier
1447720677
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005541 Issued in MI
Practice address
5659 Stadium Dr Ste 2
Kalamazoo, MI 49009-1932
Phone
(269) 372-0436
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005541 MI Primary

Addresses

Primary practice location

5659 Stadium Dr Ste 2
Kalamazoo, MI 49009-1932

Mailing address

2677 Hickory Nut LN
Kalamazoo, MI 49004-3739
Phone (812) 827-6774

Other practice location 1

675 Wagner Dr
Battle Creek, MI 49017-5721
Phone (869) 969-6244

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101005541MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1447720677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 HICKORY NUT LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490043739",
            "telephone_number": "812-827-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 STADIUM DR STE 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091932",
            "telephone_number": "269-372-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Wagner Dr",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490175721",
            "country_code": "US",
            "telephone_number": "869-969-6244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA MARIA",
        "first_name": "DENICE",
        "middle_name": "ANGELA",
        "credential": "M.S. , CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.