Individual provider Active NPI

Nicole Santiago, RRT

  • Neonatal/Pediatric Registered Respiratory Therapist
  • Cooper City, FL
National Provider Identifier
1588075089
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal/Pediatric Registered Respiratory TherapistTaxonomy code 2279P3900X
License
RT9805 Issued in FL
Practice address
5117 SW 122ND Terrace
Cooper City, FL 33330
Phone
(754) 368-5616
NPI assigned
May 19, 2014
Last updated
May 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X RT9805 FL Primary

Addresses

Primary practice location

5117 SW 122ND Terrace
Cooper City, FL 33330

Mailing address

5117 SW 122ND Terreace
Cooper City, FL 33330
Phone (754) 368-5616

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
RT9805FLMDNeonatal/Pediatric Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1588075089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 SW 122ND TERREACE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "754-368-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 SW 122ND TERRACE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "754-368-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "NICOLE",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "FL",
            "license": "RT9805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.