Individual provider Active NPI

Stephanie Santarsiero

  • Pedorthist
  • Evansville, IN
National Provider Identifier
1497125108
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
2625 Stringtown Rd Ste a
Evansville, IN 47711-3300
Phone
(972) 703-7193
Fax
(972) 920-3611
NPI assigned
Oct 7, 2015
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X NU Primary
Pedorthist 224L00000X 3846 IN

Addresses

Primary practice location

2625 Stringtown Rd Ste a
Evansville, IN 47711-3300

Mailing address

2625 Stringtown Rd Ste a
Evansville, IN 47711-3300
Phone (972) 703-7193

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
3846INMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Shoe Girl LLC Single Specialty CurrentSince Aug 27, 2023 Accepting new patients

Locations

2625 Stringtown Rd
Ste A
Evansville, IN 47711
Phone (812) 437-5193

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1497125108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 STRINGTOWN RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113300",
            "telephone_number": "972-703-7193",
            "fax_number": "972-920-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 STRINGTOWN RD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477113300",
            "telephone_number": "972-703-7193",
            "fax_number": "972-920-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTARSIERO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "IN",
            "license": "3846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.