Annette Santiago, HOMEMAKER

Primary specialty

HomemakerTaxonomy code 376J00000X

License

158093872982908 Issued in MS

Practice address

2019 Springwood Rd
Gautier, MS 39553-7301

Phone

(228) 219-4537

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Annette Santiago Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1831710714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 SPRINGWOOD RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395537301",
            "telephone_number": "228-219-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 SPRINGWOOD RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395537301",
            "telephone_number": "228-219-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ANNETTE",
        "credential": "HOMEMAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "MS",
            "license": "158093872982908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158093872982908",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gautier",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gautier",
            "address_1": "2019 Springwood Rd",
            "city": "Gautier",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395537301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gautier",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business",
            "address_1": "2019 Springwood Rd",
            "city": "Gautier",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395537301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "SANTIAGO",
            "prefix": "MS.",
            "credential": "HOMEMAKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Rogers, MA, PCMHT
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• Kimberly Len Rossignol, MSW
• Taleta Montgomery Sager, BGS
• Kimberly Ann Sapien, BA
• Ginger M Sawyer, BA IN PSYCHOLOGY
• Dana Schaub, MS RD LD
• Michelle B Scott, BSC
• Monica Ann Sebacher

• Homemaker in Gautier, MS
• Providers in Gautier, MS by specialty
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.