Nicole R Santelia, ARNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

208370 Issued in GA

Practice address

3905 Due West Rd NW
Marietta, GA 30064-1019

Phone

(678) 290-5740

NPI assigned

May 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836
  NPD (past)

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1548587462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BAGWELL DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527834",
            "telephone_number": "954-854-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 DUE WEST RD NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641019",
            "telephone_number": "678-290-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELIA",
        "first_name": "NICOLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ARNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "208370",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9182275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Plains Pediatrics PC
• Kelsey D Sanford, CSFA
• Morgan Sanford, LMSW
• Sartaj Singh Sanghera, MD
• Jaymar Saniatan, RD
• Stacy Lyn Santiago, M.S., APC
• Michael Santina, DC
• Cynthia Santos, RBT
• H David Sanusi, M.D.
• Kara Lyn Sapp Sontag, ATC

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.