Individual provider Active NPI

Savannah Neal

  • Sports Medicine (Preventive Medicine) Physician
  • Emporia, KS
National Provider Identifier
1578231627
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
2000050241 Issued in SC
Practice address
1125 Union St Apt 4
Emporia, KS 66801-3035
Phone
(864) 337-7858
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 2000050241 SC Primary

Addresses

Primary practice location

1125 Union St Apt 4
Emporia, KS 66801-3035

Mailing address

1 Kellogg Cir
Emporia, KS 66801-5415
Phone (620) 341-1200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000050241SCMDSports Medicine (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1578231627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KELLOGG CIR",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015415",
            "telephone_number": "620-341-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 UNION ST APT 4",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668013035",
            "telephone_number": "864-337-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "SC",
            "license": "2000050241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.