Individual provider Active NPI

Alexa Bambi Saverem

  • Behavior Technician
  • Clearwater, FL
National Provider Identifier
1215449541
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2685 Ulmerton Rd
Clearwater, FL 33762-5328
Phone
(813) 817-4586
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

2685 Ulmerton Rd
Clearwater, FL 33762-5328

Mailing address

2685 Ulmerton Rd
Clearwater, FL 33762-5328
Phone (727) 253-0027

Other practice location 1

4854 Sherbrook Dr
Oldsmar, FL 34677-5223
Phone (727) 253-0027

Other identifiers 1

IdentifierTypeStateIssuer
022650600MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1215449541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ULMERTON RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625328",
            "telephone_number": "727-253-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ULMERTON RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625328",
            "telephone_number": "813-817-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4854 Sherbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346775223",
            "country_code": "US",
            "telephone_number": "727-253-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVEREM",
        "first_name": "ALEXA",
        "middle_name": "BAMBI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022650600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.