Active NPIIndividual providerSole proprietor

Johanna R Santiago, CCM

Specialist/Technologist, Other in Springfield, Massachusetts

NPI Number1760154637
Practice location
935 Boston RD, Springfield, MA 01119-1332
Fax
—
Last updated
March 6, 2024

Johanna Rosalee Santiago is a Specialist/Technologist, Other based in Springfield, MA. Johanna Rosalee Santiago practices in Springfield, MA and has the professional credentials of CCM. The NPI Number for Johanna Rosalee Santiago is 1760154637. The current practice location address for Johanna Rosalee Santiago is 935 Boston RD, Springfield, MA 01119-1332 and can be reached out via phone at 413-459-0456.

Provider Profile Details

NPI Number
1760154637
Provider Name
Johanna Rosalee Santiago
Credential
CCM
Provider Entity Type
Individual
Gender
Female
Address
935 Boston RD, Springfield, MA 01119-1332
Phone Number
413-459-0456
Primary Taxonomy
Specialist/Technologist, Other · 246Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2021
Last Update Date
March 6, 2024
Certification Date
March 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
935 Boston RD
Springfield, MA 01119-1332
Zip
01119-1332
Phone Number
413-459-0456
Springfield, MA 01119Get directions →

Provider Business Mailing Address Details

Address
935 Boston RD
Springfield, MA 01119-1332
City
Springfield
State
MA
Zip
01119-1332
Phone Number
413-459-0456

License Information

License State
MA
Taxonomy
Specialist/Technologist, Other · 246Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johanna R Santiago, CCM?

The NPI number of Johanna R Santiago, CCM is 1760154637. It was assigned on September 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Johanna R Santiago, CCM?

Johanna R Santiago, CCM is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X).

Where does Johanna R Santiago, CCM practice?

The practice location is 935 Boston RD, Springfield, MA 01119-1332. The office can be reached at 413-459-0456 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760154637 directly on the NPPES registry website.

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