Individual provider Active NPI

Santressa Armstrong-Idlette

  • Case Manager/Care Coordinator
  • Suwanee, GA
National Provider Identifier
1801396007
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1372 Riverview Run LN
Suwanee, GA 30024-3887
Phone
(706) 207-4309
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X GA Primary

Addresses

Primary practice location

1372 Riverview Run LN
Suwanee, GA 30024-3887

Mailing address

50 Heritage Keep
Covington, GA 30016-9149
Phone (404) 556-7714

Other identifiers 1

IdentifierTypeStateIssuer
003199065AMedicaidGA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin and Associates Counseling Services Current Accepting new patients
Baldwin-Jones and Associates Counseling Services Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1801396007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HERITAGE KEEP",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300169149",
            "telephone_number": "404-556-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 RIVERVIEW RUN LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243887",
            "telephone_number": "706-207-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG-IDLETTE",
        "first_name": "SANTRESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199065A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.