Active NPI
Christine Diane Savage, RNC,APN
- Nurse Practitioner
- Rockford, IL
National Provider Identifier
1528114956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209002341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070312000591 | IL | Practitioner - Nurse Practitioner | 2466555453 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209002341 | IL | MD | Nurse 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.