Active NPI
Thera Savala
- Registered Nurse
- Fort Worth, TX
National Provider Identifier
1659640647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 955202
- Practice address
- 3840 Hulen St
Fort Worth, TX 76107-7277 - Phone
- (817) 335-3022
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 224923 | TX | |
| Registered Nurse | 163W00000X | 955202 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Mailing address
3049 Harrell Dr Apt 124
Grand Prairie, TX 75052-7798
Phone (817) 217-1776
Other practice location 1
1101 S Main St
Fort Worth, TX 76104-4802
Phone (817) 321-4808
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
| License | State | Type | Specialty |
|---|---|---|---|
| 955202 | TX | MD | Registered Nurse |
| 224923 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1659640647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3049 HARRELL DR APT 124",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527798",
"telephone_number": "817-217-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-335-3022"
}
],
"practiceLocations": [
{
"address_1": "1101 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044802",
"country_code": "US",
"telephone_number": "817-321-4808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAVALA",
"first_name": "THERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "224923",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "955202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.