Active NPI
Christina Diane Sanmiguel
- Driver
- Gary, IN
National Provider Identifier
1851080907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 2360195117
- Practice address
- 3650 W Ridge Rd Lot 112
Gary, IN 46408-1879 - Phone
- (219) 413-6518
- NPI assigned
- May 4, 2023
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 2360195117 | IN | Primary |
Addresses
Primary practice location
3650 W Ridge Rd Lot 112
Gary, IN 46408-1879
Mailing address
3650 W Ridge Rd Lot 112
Gary, IN 46408-1879
Phone (219) 413-6518
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 |
|---|---|---|---|
| 2360195117 | IN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1851080907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W RIDGE RD LOT 112",
"city": "GARY",
"state": "IN",
"postal_code": "464081879",
"telephone_number": "219-413-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W RIDGE RD LOT 112",
"city": "GARY",
"state": "IN",
"postal_code": "464081879",
"telephone_number": "219-413-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANMIGUEL",
"first_name": "CHRISTINA",
"middle_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IN",
"license": "2360195117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.