Active NPI
Savannah Oliver, APRN
- Family Nurse Practitioner
- Grayson, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4036929
- Practice address
- 645 Interstate Dr
Grayson, KY 41143-1704 - Phone
- (606) 474-0669
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4036929 | KY | Primary |
Addresses
Primary practice location
645 Interstate Dr
Grayson, KY 41143-1704
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627002594 | KY | Practitioner - Nurse Practitioner | 5193238764 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis County Primary Care Center, Inc
Practice addresses (Care Compare)
645 Interstate Dr
Grayson, KY 41143-1704
Phone (859) 509-5636
Hospital & facility affiliations
- King'S Daughters' Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients |
Locations
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
645 Interstate Dr
Grayson, KY 41143
Phone (606) 474-0669
211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029
Interoperability endpoints
- savannah.oliver.1@13661.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
KY
-
- Federally Qualified Health Center (FQHC)
- Morehead, KY
- NPI 1215643440
-
- Federally Qualified Health Center (FQHC)
- Maysville, KY
- NPI 1538284401
-
- Federally Qualified Health Center (FQHC)
- Tollesboro, KY
- NPI 1205951084
-
- Federally Qualified Health Center (FQHC)
- Mt. Oliver, KY
- NPI 1790420214
-
- Federally Qualified Health Center (FQHC)
- Brooksville, KY
- NPI 1871208199
-
- Federally Qualified Health Center (FQHC)
- Ashland, KY
- NPI 1902206857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1063202166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411790550",
"telephone_number": "606-796-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 INTERSTATE DR",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411431704",
"telephone_number": "606-474-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "SAVANNAH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4036929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.