Individual provider Active NPI

Savanna Lee Noel

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1306570858
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
69239 Issued in NM
Practice address
715 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3661
Phone
(505) 727-7096
Fax
(505) 727-7090
NPI assigned
Jul 11, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN-79111 NM
Nurse Practitioner 363L00000X 69239 NM Primary

Addresses

Primary practice location

715 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3661

Mailing address

715 Dr Martin Luther King Jr Ave NE Ste 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221013000642 NM Practitioner - Nurse Practitioner 6901272137 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-79111NMMDWound Care Registered Nurse
69239NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Oct 3, 2022 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 19, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jun 16, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Oct 3, 2022 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jun 16, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jun 16, 2024 Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

5900 Forest Hills Dr NE
Albuquerque, NM 87109
Phone (505) 514-2900

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 262-7281

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600

Interoperability endpoints

  • Direct secure messaging: snoel10032@ahs.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1306570858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING JR AVE NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023668",
            "telephone_number": "505-727-7090",
            "fax_number": "505-727-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023661",
            "telephone_number": "505-727-7096",
            "fax_number": "505-727-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "SAVANNA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NM",
            "license": "RN-79111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "69239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.