Savannah Aycock
Individual provider Active NPI Women's Health Nurse Practitioner · Phoenix, AZ
NPI 1346095973 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1346095973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 306292 (AZ)
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 323-3344
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Park Health Center
Practice addresses (Care Compare)
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 243-7277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240517000707 | AZ | Practitioner - Nurse Practitioner | 2163863432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Park Health Center | Current | Accepting new patients | |
| Mountain Park Health Center | Current |
Accepting new patients | |
| Mountain Park Health Center | Current |
Accepting new patients | |
| Mountain Park Health Center - Dental | Past | Accepting new patients |
Locations
635 E Baseline Rd
Phoenix, AZ 85042
2702 N 3rd St
Ste 4020
Phoenix, AZ 85004
Phone (602) 323-3345
6601 W Thomas Rd
Phoenix, AZ 85033
3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 306292 | AZ | Yes |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908
Other providers in Phoenix, AZ
- Monica Ayala
- Liya Ayalew
- Olubunmi Ayanbola Ayandokun
- Akeisha Ayanniyi
- Ashley Aycock
- Zeynep Bostanci Aydi
- Beyza Aydin
- Olubukunola Ayeni
- Angela Ayers
- Annabelle Ayers
All providers in Phoenix, AZ · Women's Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.