Individual provider Active NPI

Savannah Nunley Samanie

  • Behavior Technician
  • Bay Village, OH
National Provider Identifier
1386204741
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-57614 Issued in LA
Practice address
315 Tanglewood LN
Bay Village, OH 44140-1130
Phone
(440) 668-5342
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-57614 LA Primary

Addresses

Primary practice location

315 Tanglewood LN
Bay Village, OH 44140-1130

Mailing address

311 Elm St
Labadieville, LA 70372-2065
Phone (985) 413-1202

Other practice location 1

2700 Belle Chasse Launch Rd.
Belle Chasse, LA 70037
Phone (504) 391-2857

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

State licenses

LicenseStateTypeSpecialty
18-57614LAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Early Intervention Consulting LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1386204741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ELM ST",
            "city": "LABADIEVILLE",
            "state": "LA",
            "postal_code": "703722065",
            "telephone_number": "985-413-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TANGLEWOOD LN",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401130",
            "telephone_number": "440-668-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Belle Chasse Launch Rd.",
            "address_purpose": "LOCATION",
            "city": "Belle Chasse",
            "state": "LA",
            "postal_code": "70037",
            "country_code": "US",
            "telephone_number": "504-391-2857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANIE",
        "first_name": "SAVANNAH",
        "middle_name": "NUNLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "18-57614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.