Individual provider Active NPI

Antonia Lynn Santangelo, NP

  • Adult Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1902901523
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.07402-NP Issued in OH
Practice address
7645 Market St
Suite 210
Youngstown, OH 44512-6098
Phone
(330) 965-4540
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.07402-NP OH Primary

Addresses

Primary practice location

7645 Market St
Suite 210
Youngstown, OH 44512-6098

Mailing address

7629 Market St
Suite 200
Youngstown, OH 44512-6075
Phone (330) 965-4540

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidOH

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.07402-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
David J Corallo PastSince Jul 1, 2001 Accepting new patients
Marco R. Corallo, D.O., LLC PastSince Dec 5, 2000 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2324/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2325/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1902901523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MARKET ST",
            "address_2": "SUITE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126075",
            "telephone_number": "330-965-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 MARKET ST",
            "address_2": "SUITE 210",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126098",
            "telephone_number": "330-965-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "ANTONIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.07402-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.