Active NPI
Savanna Skinner, FNP-C
- Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1407794860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 258633
- Practice address
- 9730 E Copper Glance TRL
Tucson, AZ 85747-0192 - Phone
- (520) 780-8366
- NPI assigned
- Mar 24, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 258633 | AZ | Primary |
Addresses
Primary practice location
9730 E Copper Glance TRL
Tucson, AZ 85747-0192
Mailing address
9730 E Copper Glance TRL
Tucson, AZ 85747-0192
Phone (520) 780-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective May 4, 2026 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258633 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1407794860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 E COPPER GLANCE TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857470192",
"telephone_number": "520-780-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 E COPPER GLANCE TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857470192",
"telephone_number": "520-780-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "SAVANNA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "258633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.