Individual provider Active NPI

Marla Dawn Santillana, RN

  • School Registered Nurse
  • Queen Creek, AZ
National Provider Identifier
1659420867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN087215 Issued in AZ
Practice address
20837 E Pickett St
Queen Creek, AZ 85242-9531
Phone
(480) 987-3790
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN087215 AZ Primary

Addresses

Primary practice location

20837 E Pickett St
Queen Creek, AZ 85242-9531

Mailing address

20837 E Pickett St
Queen Creek, AZ 85242-9531
Phone (480) 987-3790

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

LicenseStateTypeSpecialty
RN087215AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659420867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20837 E PICKETT ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852429531",
            "telephone_number": "480-987-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20837 E PICKETT ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852429531",
            "telephone_number": "480-987-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLANA",
        "first_name": "MARLA",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN087215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

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.

Verify at the official NPI Registry.