Individual provider Active NPI

Christine Diane Savage, RNC,APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1528114956
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209002341 Issued in IL
Practice address
6030 Garrett LN
Rockford, IL 61107-6637
Phone
(815) 226-1172
Fax
(815) 226-1595
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209002341 IL Primary

Addresses

Primary practice location

6030 Garrett LN
Rockford, IL 61107-6637

Mailing address

6030 Garrett LN
Rockford, IL 61107-6637
Phone (815) 226-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000591 IL Practitioner - Nurse Practitioner 2466555453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209002341ILMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1528114956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 GARRETT LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076637",
            "telephone_number": "815-226-1172",
            "fax_number": "815-226-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 GARRETT LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076637",
            "telephone_number": "815-226-1172",
            "fax_number": "815-226-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "CHRISTINE",
        "middle_name": "DIANE",
        "credential": "RNC,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209002341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.