Active NPI
Nathalie Santos, DPM
- Foot & Ankle Surgery Podiatrist
- Bennington, VT
National Provider Identifier
1508427980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 061.0000031
- Practice address
- 100 Hospital Dr
Bennington, VT 05201-5004 - Phone
- (802) 447-5558
- Fax
- (802) 447-5436
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P102851 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 061.0000031 | VT | Primary |
Addresses
Primary practice location
100 Hospital Dr
Bennington, VT 05201-5004
Mailing address
100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 447-5558
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P102851 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1508427980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015004",
"telephone_number": "802-447-5558",
"fax_number": "802-447-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015004",
"telephone_number": "802-447-5558",
"fax_number": "802-447-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "NATHALIE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "P102851",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VT",
"license": "061.0000031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.