Individual provider Active NPI

Carrie Lynn Savage, FNP

  • Family Nurse Practitioner
  • Redlands, CA
National Provider Identifier
1588348163
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025593 Issued in CA
Practice address
1215 N Wabash Ave
Redlands, CA 92374-4963
Phone
(909) 794-0200
NPI assigned
Jun 14, 2023
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025593 CA Primary

Addresses

Primary practice location

1215 N Wabash Ave
Redlands, CA 92374-4963

Mailing address

1215 N Wabash Ave
Redlands, CA 92374-4963
Phone (909) 794-0200

Other names 1

  • Carrie Lynn Dean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230913001396 CA Practitioner - Nurse Practitioner 8022472869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025593CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kolli Medical Corporation CurrentSince Aug 1, 2023 Accepting new patients

Locations

1600 E Florida Ave
Ste 103
Hemet, CA 92544
Phone (951) 925-6625

1215 N Wabash Ave
Redlands, CA 92374
Phone (909) 794-0200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1588348163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N WABASH AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744963",
            "telephone_number": "909-794-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N WABASH AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744963",
            "telephone_number": "909-794-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "DEAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.