Mary Santovito

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

00090082 Issued in WA

Practice address

9113 61St Avenue CT E
Puyallup, WA 98371-7117

Phone

(253) 445-5209

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1558939280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 61ST AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 61ST AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717117",
            "telephone_number": "253-445-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOVITO",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "00090082",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "00090082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Sandhu, PA-C
• Jaspreet Kaur Sangha
• Jackson Sanguily, PA
• Jessica Santana
• Mikynna Mychael Santos, CERTIFIED BT
• Saomalie Fa'Ase Saole, BA
• Jerica Lorraine Sapp, LMT
• Rady Sar
• Sara Joy Counseling, LLC
• Jennifer Helen Sargent, DNP, ACNPC-AG

• Medical-Surgical Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Medical-Surgical Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.