Nikki Ryan Santiago

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

TMS

Practice address

2273 E Gala St Ste 100
Meridian, ID 83642-7289

Phone

(208) 898-9999

Fax

(208) 898-8992

NPI assigned

Jul 11, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Nikki Ryan Merrel Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Epic Psychological Services, PLLC

  • Psychologist
  • Meridian, ID
  • NPI 1861759854
  NPD (past)
• Scott P. Hoopes, M.D., P.a.

  • Psychiatry Physician
  • Meridian, ID
  • NPI 1891816823
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659535466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 E GALA ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427289",
            "telephone_number": "208-898-9999",
            "fax_number": "208-898-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 E GALA ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427289",
            "telephone_number": "208-898-9999",
            "fax_number": "208-898-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Coast Guard Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237032135",
            "country_code": "US",
            "telephone_number": "757-438-8597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "NIKKI",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": "TMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "165935466",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nikki",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2273 E Gala St Ste 100",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836427289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "MERREL",
            "middle_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Sandoval Alanis, LMSW
• Kelsey Sandoval, PA-C
• Jason Sandy, PHARM.D.
• Jason Sangray, PTA
• Susan Sansom, CNP
• Kara N Saperston, MD
• Sara Hoyt Consulting
• Matthew Robert Sara, M.D.
• Jocelyn Sarkaria, DO
• Serria Kathleen Sarrazolla, LCSW

• Other Specialist/Technologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Other Specialist/Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.