MS. JEANNETTE SANTULLI NURSE PRACTITIONER NPI 1497946784

NPI Information

  • NPI: 1497946784
  • Provider Name: MS. JEANNETTE SANTULLI, NURSE PRACTITIONER
  • Classification: Clinical Nurse Specialist - 364SP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 197 HALF HOLLOW RD
    DIX HILLS, NY
    ZIP 11746
  • Phone: (631) 286-6935

Map and Directions

Get Directions

NPI Details

MS. Jeannette Santulli, NURSE PRACTITIONER is a psychiatric/mental health and child and adolescent clinical nurse specialist in Dix Hills, NY with 18 years of experience. MS. Jeannette Santulli, NURSE PRACTITIONER NPI is 1497946784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

197 HALF HOLLOW RD
DIX HILLS, NY
ZIP 11746-861
Phone: (631) 286-6935

The NPI 1497946784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentF401156-1NEW YORKNo
2163W00000XRegistered Nurse417230 1NEW YORKNo
3364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentF4011561NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102077636MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI