DR. LOURDES MARY SANTONI (NPI# 1417199787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417199787 |
| Entity Type | Individual |
| Full Name | DR. LOURDES MARY SANTONI |
| Credential | PHD, ACNP-BC, CRNP |
| Practice Address |
4641 Roosevelt Blvd. Orleans Building Philadelphia PA 19124 |
| Mailing Address |
1504 Waterford Road Yardley PA 19067-5425 |
| Practice Telephone | 2158312860 |
| Practice Fax Number | 2158312835 |
| Mailing Telephone | 2672018256 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F430019-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NN05969600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP005232M | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI | 1417199787 | 01 |
| PA | NURSE PRACTITIONER LICENSE | SP005232-M | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1504 Waterford Rd, Yardley, PA 190675425 | 2679877293 | 2679877293 |
| Street Address |
4641 ROOSEVELT BLVD. ORLEANS BUILDING |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
| 1902411721 | Sean Arthur Deiter | Nurse Practitioner | 3619 Gypsy Ln, Philadelphia, PA 19129-1612 | 2020-09-09 |
| 1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
| 1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
| 1629611488 | Shane M Hafer | Nurse Practitioner | 3600 Civic Center Blvd Fl 3, Philadelphia, PA 19104-4310 | 2019-10-24 |
| 1184272262 | Judy Linh | Nurse Practitioner | 901 Glenview St, Philadelphia, PA 19111-4420 | 2019-08-31 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1942777909 | Jessica Lynn Goins | Nurse Practitioner | 111 S 11th St Bldg 934, Philadelphia, PA 19107-4824 | 2018-10-29 |
| 1891201968 | Stefanie Rashti | Nurse Practitioner | 1015 Walnut St Ste 401, Philadelphia, PA 19107-5005 | 2017-12-27 |
| 1780074336 | Bridget Gibson | Nurse Practitioner | 1522 E Susquehanna Ave, Philadelphia, PA 19125-2921 | 2015-02-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on DR. LOURDES MARY SANTONI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.