Phillip Ross-Santiago, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330609 Issued in WI

Practice address

3440 Oakwood Hills Pkwy
Eau Claire, WI 54701-7698

Phone

(715) 214-2525

NPI assigned

Dec 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Milwaukee Health Services System, LLC

  • Methadone Clinic
  • Eau Claire, WI
  • NPI 1700250784
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1891562997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017698",
            "telephone_number": "715-214-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017698",
            "telephone_number": "715-214-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-SANTIAGO",
        "first_name": "PHILLIP",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "330609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Nicole Rose, RBT
• Madeline R Roselius, PA-C
• Melinda Marie Rosenberger, DDS
• Jennifer A Rosicky, OT
• Nancy Michelle Roskos, CSW SAC-IT
• Katie J. Ross, LAT
• Stephanie Roth
• Joan Marie Roubal, PT
• Daniel B Rouse, CRNA
• Kayla L Rowan, RDH

• Licensed Practical Nurse in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.