Active NPI
Antonette Santos Padua
- Professional Counselor
- Talofofo, GU
National Provider Identifier
1760031355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 135
- Practice address
- 125 Darwin LN
Talofofo, GU 96915-3723 - Phone
- (671) 777-3202
- NPI assigned
- Sep 6, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 135 | GU | Primary |
Addresses
Primary practice location
125 Darwin LN
Talofofo, GU 96915-3723
Mailing address
125 Darwin LN
Talofofo, GU 96915-3723
Phone (671) 777-3202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Talofofo | Direct |
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 |
|---|---|---|---|
| 135 | GU | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1760031355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DARWIN LN",
"city": "TALOFOFO",
"state": "GU",
"postal_code": "969153723",
"telephone_number": "671-777-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DARWIN LN",
"city": "TALOFOFO",
"state": "GU",
"postal_code": "969153723",
"telephone_number": "671-777-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADUA",
"first_name": "ANTONETTE",
"middle_name": "SANTOS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GU",
"license": "135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Talofofo",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Talofofo",
"address_1": "125 Darwin Ln",
"city": "Talofofo",
"state": "GU",
"country_code": "US",
"postal_code": "969153723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Talofofo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.