Active NPI
Savanna Jane Harris, APRN
- Family Nurse Practitioner
- Daytona Beach, FL
National Provider Identifier
1417615436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016528
- Practice address
- 533 N Clyde Morris Blvd Ste C
Daytona Beach, FL 32114-2323 - Phone
- (407) 898-2767
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016528 | FL | Primary |
Addresses
Primary practice location
533 N Clyde Morris Blvd Ste C
Daytona Beach, FL 32114-2323
Mailing address
604 Champion Ridge Dr
Daytona Beach, FL 32124-3037
Phone (850) 509-9047
Other names 1
- Savanna Harris Mazon
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016528 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Pediatric Pulmonary and Sleep Associates PA | 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.
-
- Pediatric Pulmonology Physician
- Winter Park, FL
- NPI 1316010952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1417615436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 CHAMPION RIDGE DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321243037",
"telephone_number": "850-509-9047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 N CLYDE MORRIS BLVD STE C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142323",
"telephone_number": "407-898-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SAVANNA",
"middle_name": "JANE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAVANNA",
"last_name": "MAZON",
"middle_name": "HARRIS",
"credential": "APRN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.