Individual provider Active NPI

Terry Sue Savan, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1568573475
Registry record updated Mar 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02454 Issued in NM
Practice address
5901 Harper Dr NE
Presbyterian Urgent Care Northside
Albuquerque, NM 87109-3587
Phone
(505) 823-8888
NPI assigned
Aug 31, 2006
Last updated
Mar 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA-003143-L PA
Family Nurse Practitioner 363LF0000X TP006242B PA
Family Nurse Practitioner 363LF0000X 287073-8100 CA
Family Nurse Practitioner 363LF0000X 070035 MO
Physician Assistant 363A00000X 13745 CA
Family Nurse Practitioner 363LF0000X CNP-02454 NM Primary
Registered Nurse 163W00000X 81467 NM

Addresses

Primary practice location

5901 Harper Dr NE
Presbyterian Urgent Care Northside
Albuquerque, NM 87109-3587

Mailing address

12200 Academy Rd NE
1228
Albuquerque, NM 87111-7245
Phone (314) 610-1536

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
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81467NMMDRegistered Nurse
MA-003143-LPAMDPhysician Assistant
287073-8100CAMDFamily Nurse Practitioner
CNP-02454NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialists of St Lukes LLC Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St Luke's Physician Group Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1568573475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ACADEMY RD NE",
            "address_2": "1228",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117245",
            "telephone_number": "314-610-1536",
            "fax_number": "505-298-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HARPER DR NE",
            "address_2": "PRESBYTERIAN URGENT CARE NORTHSIDE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093587",
            "telephone_number": "505-823-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAN",
        "first_name": "TERRY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA-003143-L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP006242B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "287073-8100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "070035",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02454",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "81467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.