Organization Active NPI

Adela R. Santos, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1891304408
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ADELA R. SANTOS, PLLC
Practice address
6625 Wooldridge Rd Ste 402
Corpus Christi, TX 78414-2916
Phone
(361) 765-4666
Fax
(361) 992-4655
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mrs. Adela R Santos, MSN, APRN, PMHNP-BCNPI 1295073955
Title
Psychiatric Nurse Practitioner
Phone
(361) 834-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6625 Wooldridge Rd Ste 402
Corpus Christi, TX 78414-2916

Mailing address

353 Merrill Dr
Corpus Christi, TX 78408-3344
Phone (361) 834-5300

Other identifiers 1

IdentifierTypeStateIssuer
12667258OtherTXCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811002565 TX Part B Supplier - Clinic/Group Practice 2264858083 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

6625 Wooldridge Rd
Ste 402
Corpus Christi, TX 78414
Phone (361) 765-4666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1891304408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MERRILL DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083344",
            "telephone_number": "361-834-5300",
            "fax_number": "361-992-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD STE 402",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-765-4666",
            "fax_number": "361-992-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELA R. SANTOS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ADELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "361-834-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12667258",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.