Patricia Ann Savage, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000032995N2 PNP-PP Issued in OR

Practice address

94235 Moore St
Suite 121
Gold Beach, OR 97444-9699

Phone

(541) 247-3300

Fax

(541) 247-5601

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1457553257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974440609",
            "telephone_number": "541-247-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94235 MOORE ST",
            "address_2": "SUITE 121",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974449699",
            "telephone_number": "541-247-3300",
            "fax_number": "541-247-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "000032995N2 PNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R105279",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Reenders
• Mary Lisa Refailov
• John B. Rush, O.D.
• Stephanie K Ryder
• Christie Sabin
• Donelle W. Schacher, CRNA
• Jane Eileen Schryer, MSW,CADC 111
• Lois Shipley
• Tamera Somers
• South Coast Healthcare LLC

• All providers in Gold Beach, OR
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.