Individual provider Active NPI

Savanna Dawn Eaves, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1477333128
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
231116 Issued in LA
Practice address
2551 Greenwood Rd Ste 310
Shreveport, LA 71103-3989
Phone
(318) 212-6070
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 231116 LA Primary

Addresses

Primary practice location

2551 Greenwood Rd Ste 310
Shreveport, LA 71103-3989

Mailing address

8455 Fern Ave Apt 1008
Shreveport, LA 71105-5781
Phone (318) 315-0557

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1202 Louisiana Ave
Shreveport, LA 71101-3910

8455 Fern Ave
Apt 1008
Shreveport, LA 71105-5781

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Advanced Laparoscopic and Robotic Surgery Specialists CurrentSince May 6, 2024 Accepting new patients
WK Bossier Pulmonary & Critical Care Clinic Past Accepting new patients
WK Robotic and Laparoscopic Surgery Clinic PastSince Mar 1, 2019 Accepting new patients
Lifepath Hospice Care Services, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

2508 Bert Kouns Industrial Loop
Ste 401
Shreveport, LA 71118
Phone (318) 677-5869

2551 Greenwood Rd
Ste 310
Shreveport, LA 71103

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1477333128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 FERN AVE APT 1008",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055781",
            "telephone_number": "318-315-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD STE 310",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033989",
            "telephone_number": "318-212-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "SAVANNA",
        "middle_name": "DAWN",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "231116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.