Active NPI
Alexandria Denise Santiago
- Home Health Aide
- Virginia Beach, VA
National Provider Identifier
1619560620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- Maxim Healthcare Services
293 Independence Blvd Suite 4
Virginia Beach, VA 23462 - Phone
- (757) 490-3009
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
Maxim Healthcare Services
293 Independence Blvd Suite 4
Virginia Beach, VA 23462
Mailing address
3 Ridgefield Dr
Elizabeth City, NC 27909-9732
Phone (916) 960-9881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1516177175 | Other | NC | TRICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | maxhealth.com | Health Information Exchange (HIE) | Maxim Healthcare Services, Inc. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1619560620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIDGEFIELD DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279099732",
"telephone_number": "916-960-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAXIM HEALTHCARE SERVICES",
"address_2": "293 INDEPENDENCE BLVD SUITE 4",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-490-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ALEXANDRIA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1516177175",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "maxhealth.com",
"affiliation": "Y",
"affiliationName": "Maxim Healthcare Services, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "Maxim Healthcare Services",
"address_2": "293 Independence Blvd Suite 4",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "23462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
- Sabrina L Sanford, MS, ORT/L
- Sanguine Therapy LLC
- Emily Nicole Santana
- Catina Santee
- Paige McKenzie Santers
- Lynette Marla Santiago, D.P.M.
- Samantha Santiaguel, MS, CF-SLP
- Torinna R Santistevan
- Santos Dental Health & Wellness, Inc. (Santos Dental Health & Wellness a Division of Atlantic Dental Care PLC)
- Arianne Santos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.