Savatri Tack, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207349 Issued in MA

Practice address

1200 Centre Street
Department of Medicine
Roslindale, MA 02131-1000

Phone

(617) 363-8010

Fax

(617) 363-8929

NPI assigned

Nov 11, 2010

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 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Credentials

Nurse Practitioner

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.

• Hebrew Rehabilitation Center

  dba Hebrew Rehab Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967
  Medicare reassignment NPD
• Hebrew Rehabilitation Center

  dba Hebrew Rehab-Recup Services Unit

  • Skilled Nursing Facility
  • Roslindale, MA
  • NPI 1013012319
  NPD
• Nova Psychiatric Service

  • Psychologist
  • Quincy, MA
  • NPI 1598838781
  NPD (past)
• Nova Psychiatric Services, PC

  dba Prime Behavioral Health

  • Community/Behavioral Health Agency
  • Quincy, MA
  • NPI 1881782522
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1053612788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE STREET",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-363-8010",
            "fax_number": "617-363-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE STREET",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-363-8010",
            "fax_number": "617-363-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACK",
        "first_name": "SAVATRI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "207349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1974901",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088213A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Strauss, LICSW
• Stride Medical Inc
• Sullivan's Health Care, Inc
• Sullivan's Pharmacy, Inc
• Tammy Marie Swift, D.C.
• Merialda Tahiraga, R.D.H.
• Madeleine Wan Yong Tan, BDSC, MDS
• Patricia A Tarala
• Davida Tavan
• Rotem Tellem, MD

• Family Nurse Practitioner in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.