Phillis L Santiago

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

00000 Issued in LA

Practice address

3100 Ridgelake Dr
Suite 309
Metairie, LA 70002-4938

Phone

(504) 309-0259

Fax

(504) 309-2702

NPI assigned

Nov 11, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Destined for Options

  • Child Mental Illness Respite Care
  • Metairie, LA
  • NPI 1699531806
  NPD
• Destined for Options LLC

  • Developmental Disabilities Clinic/Center
  • Metairie, LA
  • NPI 1255105698
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1972327674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RIDGELAKE DR STE 309",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024938",
            "telephone_number": "504-309-0259",
            "fax_number": "504-309-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RIDGELAKE DR",
            "address_2": "SUITE 309",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024938",
            "telephone_number": "504-309-0259",
            "fax_number": "504-309-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "PHILLIS",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.destinedforoptions.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "3100 Ridgelake Dr Ste 309",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700024938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Trey Sands, MD
• Brooke Paige Sandwisch, M.A., BCBA, LBA
• Laquinya A Sanford
• Matthew K Sanger, MD
• Cristina Sanina, M.D.
• Reniyha Santiago
• Ellen Lynn Santolucito, L.P.C.
• Kensy Santos-Arita
• Peter Anthony Santos
• Puja Sapkota

• Personal Care Attendant in Metairie, LA
• Providers in Metairie, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.