Individual provider Active NPI

Grace Santana, NP-C

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1780162024
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07180528 Issued in AL
Practice address
3270 Gatsby LN
Montgomery, AL 36106-2668
Phone
(334) 303-1630
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07180528 AL Primary

Addresses

Primary practice location

3270 Gatsby LN
Montgomery, AL 36106-2668

Mailing address

3270 Gatsby LN
Montgomery, AL 36106-2668
Phone (334) 303-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181227000702 AL Practitioner - Nurse Practitioner 4082959721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07180528ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc CurrentSince Dec 4, 2021 Accepting new patients
Health Services, Inc. CurrentSince Dec 4, 2021 Accepting new patients
Health Services Inc Current Accepting new patients

Locations

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

Organizations & group practices 3

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1780162024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 GATSBY LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062668",
            "telephone_number": "334-303-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 GATSBY LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062668",
            "telephone_number": "334-303-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "GRACE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F07180528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.