Individual provider Active NPI

Bonnie Jean Savin, RN

  • Registered Nurse
  • Clearlake, CA
National Provider Identifier
1336959402
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
588015 Issued in CA
Practice address
7000B S Center Dr
Clearlake, CA 95422-8458
Phone
(707) 994-7090
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 588015 CA Primary

Addresses

Primary practice location

7000B S Center Dr
Clearlake, CA 95422-8458

Mailing address

415 Knollcrest Dr Ste 101
Redding, CA 96002-0181
Phone (707) 994-7090

Other practice location 1

18721 Glenwood Rd
Hidden Valley Lake, CA 95467-8244
Phone (707) 533-9098

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
588015CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1336959402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 KNOLLCREST DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020181",
            "telephone_number": "707-994-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000B S CENTER DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228458",
            "telephone_number": "707-994-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18721 Glenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Hidden Valley Lake",
            "state": "CA",
            "postal_code": "954678244",
            "country_code": "US",
            "telephone_number": "707-533-9098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVIN",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "588015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearlake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.