Individual provider Active NPI

Tammy Joanne Savage, RN

  • School Registered Nurse
  • Kingwood, WV
National Provider Identifier
1174794648
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
60749 Issued in WV
Practice address
300 Preston Dr
Kingwood, WV 26537-1551
Phone
(304) 624-6554
Fax
(304) 624-5223
NPI assigned
Mar 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 60749 WV Primary

Addresses

Primary practice location

300 Preston Dr
Kingwood, WV 26537-1551

Mailing address

300 Preston Dr
Kingwood, WV 26537-1551
Phone (304) 624-6554

Other identifiers 1

IdentifierTypeStateIssuer
3810002263MedicaidWV

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
60749WVMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Preston County Board of Education Past Accepting new patients
Preston County Board of Education Past 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": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1174794648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PRESTON DR",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371551",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRESTON DR",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371551",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "TAMMY",
        "middle_name": "JOANNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "60749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002263",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.