Active NPI
Andrea Bretz Savitz, M.A., R.N., C.S.
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Andover, ME
National Provider Identifier
1265597793
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R 040834
- Practice address
- 86 Sawyer Notch Rd
Andover, ME 04216-6027 - Phone
- (207) 392-1020
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R 040834 | ME | Primary |
Addresses
Primary practice location
86 Sawyer Notch Rd
Andover, ME 04216-6027
Mailing address
86 Sawyer Notch Rd
Andover, ME 04216-6027
Phone (207) 392-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036360 | Other | ME | ANTHEM BCBS PIN # |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Nurse Specialist, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 040834 | ME | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1265597793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 SAWYER NOTCH RD",
"city": "ANDOVER",
"state": "ME",
"postal_code": "042166027",
"telephone_number": "207-392-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 SAWYER NOTCH RD",
"city": "ANDOVER",
"state": "ME",
"postal_code": "042166027",
"telephone_number": "207-392-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVITZ",
"first_name": "ANDREA",
"middle_name": "BRETZ",
"name_prefix": "Mrs.",
"credential": "M.A., R.N., C.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "ME",
"license": "R 040834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PIN #",
"identifier": "036360",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.