Active NPI
Savannah Maensivu Rosamond
- Family Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1265201230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 226826
- Practice address
- 901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473 - Phone
- (479) 273-3376
- Fax
- (479) 273-3468
- NPI assigned
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 226826 | AR | Primary |
Addresses
Primary practice location
901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Mailing address
901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Phone (479) 273-3376
Other practice location 1
1702 SE 8th St Ste 10
Bentonville, AR 72712-2891
Phone (479) 273-3376
Other practice location 2
5691 Gateway Ave, Suite D
Springdale, AR 72762
Phone (479) 273-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226826 | AR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1265201230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SE PLAZA AVE STE 5",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125473",
"telephone_number": "479-273-3376",
"fax_number": "479-273-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SE PLAZA AVE STE 5",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125473",
"telephone_number": "479-273-3376",
"fax_number": "479-273-3468"
}
],
"practiceLocations": [
{
"address_1": "1702 SE 8th St Ste 10",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727122891",
"country_code": "US",
"telephone_number": "479-273-3376",
"fax_number": "479-273-3468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5691 Gateway Ave, Suite D",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "72762",
"country_code": "US",
"telephone_number": "479-273-3376",
"fax_number": "479-273-3468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSAMOND",
"first_name": "SAVANNAH",
"middle_name": "MAENSIVU",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-01",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "226826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.