Active NPI
Ingrid Martina Polanco Santiago
- Community Health Worker
- Pawtucket, RI
National Provider Identifier
1699644583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 40376102
- Practice address
- 48 Power Rd
Pawtucket, RI 02860 - Phone
- (401) 326-2726
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 40376102 | RI | Primary |
Addresses
Primary practice location
48 Power Rd
Pawtucket, RI 02860
Mailing address
48 Power Rd
Pawtucket, RI 02860
Phone (401) 326-2726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40376102 | RI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1699644583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 POWER RD",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-326-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 POWER RD",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-326-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO SANTIAGO",
"first_name": "INGRID",
"middle_name": "MARTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "RI",
"license": "40376102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.