Savanna Joy Desantis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1146468 Issued in AL

Practice address

504 McCurdy Ave S
Rainsville, AL 35986-5254

Phone

(256) 638-9161

NPI assigned

May 12, 2021

Last updated

May 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: savanna.desantis.1@29332.direct.athenahealth.com

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.

• Family First Medicine LLC

  • Family Medicine Physician
  • Rainsville, AL
  • NPI 1194905075
  Medicare reassignment NPD
• Family First Medicine LLC

  dba Family First Medicine of Scottsboro

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1780192765
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1023692316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 HIGHWAY 137",
            "city": "VALLEY HEAD",
            "state": "AL",
            "postal_code": "359894033",
            "telephone_number": "256-516-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MCCURDY AVE S",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359865254",
            "telephone_number": "256-638-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "SAVANNA",
        "middle_name": "JOY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1146468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1146468",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris Parker Davis, MS
• Timothy B Decker, D.O.
• Ricky G Deerman, MD
• Dekalb County Board of Education
• Dekalb Urgent Care and Wellness Clinic, LLC
• Katherine Woods Doolittle
• Dove Renew
• Dr Emily K White PC (Dr Emily K White)
• Dr. John Anderson
• Dr. Marvin L. Barron Dental Practice LLC

• Family Nurse Practitioner in Rainsville, AL
• Providers in Rainsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.