Jessenia Liz Pratts Santiago

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4973 Issued in SC

Practice address

403 Parker Ivey Dr
Greenville, SC 29607-6513

Phone

(864) 288-2136

NPI assigned

Jul 5, 2023

Last updated

Oct 19, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Health and Wellness Medical Center LLC

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1639037534
  NPD
• Maxima Chiropractic Clinic

  • Chiropractor
  • Coamo, PR
  • NPI 1972322188
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1750068326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HALTON RD APT 7002",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073484",
            "telephone_number": "787-432-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PARKER IVEY DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076513",
            "telephone_number": "864-288-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATTS SANTIAGO",
        "first_name": "JESSENIA",
        "middle_name": "LIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Prasertkul, LMSW
• Christopher A. Prasun, PA-C
• Kelly Macintire Prater, OTR/L
• Madison Prater
• Katelyn Nicole Pratt, M.D.
• Alexander Pravia, HAS
• Caroline Michelle Pray
• Joseph Gramling Praytor, MD
• Carl A Preciado, CRNA
• Precision Carpentry and Plumbing (Charles Dieterich)

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.