Active NPI
Karen A Santiago, R.N.
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Copperas Cove, TX
National Provider Identifier
1568525079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- License
- 715857
- Practice address
- 819 E Highway 190
Copperas Cove, TX 76522-2259 - Phone
- (254) 542-3080
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | 715857 | TX | Primary |
Addresses
Primary practice location
819 E Highway 190
Copperas Cove, TX 76522-2259
Mailing address
609 Yucca Cir
Harker Heights, TX 76548-8016
Phone (254) 698-1903
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 715857 | TX | MD | Military/U.S. Coast Guard Outpatient Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568525079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 YUCCA CIR",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765488016",
"telephone_number": "254-698-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 E HIGHWAY 190",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222259",
"telephone_number": "254-542-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "KAREN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": "TX",
"license": "715857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.