Individual provider Active NPI

Angie Carolina Santaniello Medina, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649101171
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1115747 Issued in TX
Practice address
3131 Eastside St Ste 102
Houston, TX 77098-1919
Phone
(713) 429-4493
Fax
(281) 393-4018
NPI assigned
May 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1115747 TX Primary

Addresses

Primary practice location

3131 Eastside St Ste 102
Houston, TX 77098-1919

Mailing address

8003 Buffalo View LN
Cypress, TX 77433-2544
Phone (832) 283-5225

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
1115747TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivicare Health Partners, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1649101171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 BUFFALO VIEW LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332544",
            "telephone_number": "832-283-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 EASTSIDE ST STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981919",
            "telephone_number": "713-429-4493",
            "fax_number": "281-393-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANIELLO MEDINA",
        "first_name": "ANGIE",
        "middle_name": "CAROLINA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1115747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.