Individual provider Active NPI

Holly Savino, PNP

  • Pediatric Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1164066791
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11007647 Issued in FL
Practice address
1102 A1A N Ste 104
Ponte Vedra Beach, FL 32082-4098
Phone
(904) 743-2100
Fax
(904) 273-6532
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RN231866 GA
Pediatric Nurse Practitioner 363LP0200X APRN11007647 FL Primary

Addresses

Primary practice location

1102 A1A N Ste 104
Ponte Vedra Beach, FL 32082-4098

Mailing address

1102 A1A N Ste 104
Ponte Vedra Beach, FL 32082-4098

Other practice location 1

4745 Sutton Park Ct Ste 801
Jacksonville, FL 32224-0258
Phone (904) 743-2100

Other practice location 2

1633 Race Track Rd Ste 103
St Johns, FL 32259-3237
Phone (904) 743-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN231866GAMDPediatrics Physician
APRN11007647FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Pediatrics Past Accepting new patients
Ivy League Pediatrics Pediatrics PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1164066791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-743-2100",
            "fax_number": "904-273-6532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Sutton Park Ct Ste 801",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322240258",
            "country_code": "US",
            "telephone_number": "904-743-2100",
            "fax_number": "904-273-6532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1633 Race Track Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322593237",
            "country_code": "US",
            "telephone_number": "904-743-2100",
            "fax_number": "904-273-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVINO",
        "first_name": "HOLLY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN231866",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11007647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.