Individual provider Active NPI

Jasmine Shanikqua Savoie, FNP-BC

  • Family Nurse Practitioner
  • Mamou, LA
National Provider Identifier
1205517638
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231920 Issued in LA
Practice address
803 Poinciana Ave
Mamou, LA 70554-2201
Phone
(337) 468-3099
Fax
(337) 468-3083
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231920 LA Primary

Addresses

Primary practice location

803 Poinciana Ave
Mamou, LA 70554-2201

Mailing address

219 Bertrand Rd
Opelousas, LA 70570-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002399 LA Practitioner - Nurse Practitioner 9830548791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 Court St
Oberlin, LA 70655-6407
Phone (337) 639-2067

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-0355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231920LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savoy Medical Management Group, Inc Nurse Practitioner CurrentSince Sep 2, 2023 Accepting new patients
Savoy Medical Management Group, Inc. Current Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Sep 2, 2023 Accepting new patients

Locations

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

803 Poinciana Ave
Mamou, LA 70554
Phone (337) 468-3099

616 Court St
Oberlin, LA 70655
Phone (337) 639-2067

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1205517638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BERTRAND RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705701922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542201",
            "telephone_number": "337-468-3099",
            "fax_number": "337-468-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVOIE",
        "first_name": "JASMINE",
        "middle_name": "SHANIKQUA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamou, LA

Sources for this page

Verify at the official NPI Registry.