Active NPI
Dana Santiago, APRN
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11007236
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1107236 | Other | APRN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007236 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Inpatient Medicine, PA | Current | Accepting new patients | |
| Gutteridge Jeancharles, MD, PA | Current | Accepting new patients | |
| Florida Med-Psych Consultants LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1902287899
-
- Hospitalist Physician
- Orlando, FL
- NPI 1063905925
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1558622068
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.