Individual provider Active NPI

Savanna Dawn Bowers, DNP, FNP-C

  • Primary Care Nurse Practitioner
  • Davis-Monthan Afb, AZ
National Provider Identifier
1457995854
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
275832 Issued in AZ
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

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
275832AZMDRegistered Nurse
432691OHMDRegistered 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.

Verify at the official NPI Registry.