Savannah R Boles, RT(R)(MR)RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

403 N State of Franklin Rd
Johnson City, TN 37604-6034

Phone

(423) 431-7111

NPI assigned

Sep 7, 2026

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 names 1

• Savannah Clark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1174432991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 WAYLAND DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377435950",
            "telephone_number": "423-620-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N STATE OF FRANKLIN RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046034",
            "telephone_number": "423-431-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "SAVANNAH",
        "middle_name": "R",
        "credential": "RT(R)(MR)RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "CLARK",
            "credential": "RT(R)(MR)RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Lynn Boggs, M.S., CCC-SLP
• Charissa Bogle, LCSW
• Mikayla L. Bogulski
• Cydney Boldt, DO
• Olivia Cathryn Boles, DPT
• Richard Alexander Boleyn, D.C.
• Richard A Bolinger, PT
• Alexis Bolling
• Gabriel Bolling, LCSW
• Lanny Clarice Bolling, PSY.D.

• Student in an Organized Health Care Education/Training Program in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.