Savannah Dawn Archuleta

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.0337864 Issued in CO

Practice address

11702 Yelm Hwy SE
Olympia, WA 98513-9109

Phone

(360) 413-3039

NPI assigned

Jun 30, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1174412563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11702 YELM HWY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139109",
            "telephone_number": "360-413-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "SAVANNAH",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "PN.0337864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Jean Aragon, AAC
• Archer Reed LLC
• Allison Marie Bourguet Archer, MS, NCC
• Jennifer Archer, MA-SLP
• Scott L. Archer, ARNP
• Edelia Arellano
• Alexandra Arendt, DO
• Mary L Arias
• Arielle Wortman PLLC
• Jack William Armitage, MD

• Licensed Practical Nurse in Olympia, WA
• Providers in Olympia, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.