Active NPI
Kristan Drew Danielle Santis
- Occupational Therapy Assistant
- Salisbury, NC
National Provider Identifier
1801324371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 10124
- Practice address
- 710 Julian Rd
Salisbury, NC 28147-9079 - Phone
- (704) 636-5812
- NPI assigned
- May 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 10124 | NC | Primary |
Addresses
Primary practice location
710 Julian Rd
Salisbury, NC 28147-9079
Mailing address
710 Julian Rd
Salisbury, NC 28147-9079
Phone (704) 636-5812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0146961000 | Other | MEDCOST |
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 |
|---|---|---|---|
| 10124 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1801324371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JULIAN RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281479079",
"telephone_number": "704-636-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIS",
"first_name": "KRISTAN",
"middle_name": "DREW DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "10124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A0146961000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.