Individual provider Active NPI

Dana Santiago, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1770100828
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11007236 Issued in FL
Practice address
3110 Lake Jean Dr
Orlando, FL 32817-2324
Phone
(407) 280-9577
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11007236 FL Primary

Addresses

Primary practice location

3110 Lake Jean Dr
Orlando, FL 32817-2324

Mailing address

3110 Lake Jean Dr
Orlando, FL 32817-2324
Phone (407) 280-9577

Other identifiers 1

IdentifierTypeStateIssuer
1107236OtherAPRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ORLANDO Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000753 FL Practitioner - Nurse Practitioner 8022423375 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 445-9545

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007236FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Inpatient Medicine, PA CurrentSince Apr 19, 2021 Accepting new patients
Gutteridge Jeancharles, MD, PA CurrentSince Nov 14, 2020 Accepting new patients
Florida Med-Psych Consultants LLC CurrentSince Apr 19, 2021 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

1781 Park Center Dr
Ste 120
Orlando, FL 32835
Phone (407) 297-3626

453 N Kirkman Rd
Ste 203
Orlando, FL 32811
Phone (407) 914-2325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5813/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1770100828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 LAKE JEAN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172324",
            "telephone_number": "407-280-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LAKE JEAN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172324",
            "telephone_number": "407-280-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11007236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "1107236",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ORLANDO",
            "address_1": "3110 Lake Jean Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328172324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.