Active NPI
Savanna Dawn Bowers, DNP, FNP-C
- Primary Care Nurse Practitioner
- Davis-Monthan Afb, AZ
National Provider Identifier
1457995854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 275832
- Practice address
- 4175 S Alamo Ave
Building 400
Davis-Monthan Afb, AZ 85707 - Phone
- (520) 228-2778
- NPI assigned
- Oct 30, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 432691 | OH | |
| Registered Nurse | 163W00000X | 275832 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | 275832 | AZ | Primary |
Addresses
Primary practice location
4175 S Alamo Ave
Building 400
Davis-Monthan Afb, AZ 85707
Mailing address
4175 S Alamo Ave
Building 400
Davis-Monthan Afb, AZ 85707
Phone (520) 228-2778
Other names 1
- Savanna Dawn McCormick
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bethesda |
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 |
|---|---|---|---|
| 275832 | AZ | MD | Registered Nurse |
| 432691 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1457995854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 S ALAMO AVE",
"address_2": "BUILDING 400",
"city": "DAVIS-MONTHAN AFB",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 S ALAMO AVE",
"address_2": "BUILDING 400",
"city": "DAVIS-MONTHAN AFB",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "SAVANNA",
"middle_name": "DAWN",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "432691",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "275832",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "275832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bethesda",
"affiliation": "N",
"address_1": "4301 Jones Bridge Rd",
"city": "Bethesda",
"state": "MD",
"country_code": "US",
"postal_code": "208144799",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAVANNA",
"last_name": "MCCORMICK",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davis-Monthan Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.