Individual provider Active NPI

Freda Cecelia Savahl

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1528243524
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP104182 Issued in TX
Practice address
1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-7771
Phone
(806) 351-7540
Fax
(806) 351-7546
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X APRN-365 HI
Women's Health Nurse Practitioner 363LW0102X 449655 TX
Nurse Practitioner 363L00000X AP104182 TX Primary

Addresses

Primary practice location

1900 SE 34TH Ave
Unit 1800
Amarillo, TX 79118-7771

Mailing address

PO Box 848268
Att Ipm Credentialing
Dallas, TX 75284-8268
Phone (903) 416-1726

Other identifiers 1

IdentifierTypeStateIssuer
0707739-03MedicaidTX

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP104182TXMDNurse Practitioner
APRN-365HIMDWomen's Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1528243524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848268",
            "address_2": "ATT IPM CREDENTIALING",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848268",
            "telephone_number": "903-416-1726",
            "fax_number": "903-416-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE",
            "address_2": "UNIT 1800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791187771",
            "telephone_number": "806-351-7540",
            "fax_number": "806-351-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAHL",
        "first_name": "FREDA",
        "middle_name": "CECELIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "HI",
            "license": "APRN-365",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "449655",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP104182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707739-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.