Individual provider Active NPI

Savannah Peixoto

  • Long-Term Care Clinical Nurse Specialist
  • Fall River, MA
National Provider Identifier
1609597319
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
License
CERTIFICATION Issued in MA
Practice address
111 Anthony St
Fall River, MA 02721-3305
Phone
(774) 361-2029
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse Specialist 364SL0600X CERTIFICATION MA Primary

Addresses

Primary practice location

111 Anthony St
Fall River, MA 02721-3305

Mailing address

111 Anthony St
Fall River, MA 02721-3305
Phone (774) 361-2029

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2022 Other

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
CERTIFICATIONMAMDLong-Term Care Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1609597319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ANTHONY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213305",
            "telephone_number": "774-361-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ANTHONY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213305",
            "telephone_number": "774-361-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIXOTO",
        "first_name": "SAVANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MA",
            "license": "CERTIFICATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2022",
            "affiliation": "N",
            "endpointDescription": "2022",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "111 Anthony St",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027213305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.