Active NPI
Fanny Stella Saavedra
- Acupuncturist
- Selden, NY
National Provider Identifier
1669085213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006681-01
- Practice address
- 66 Elmwood Ave
Selden, NY 11784-2912 - Phone
- (516) 380-1915
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 027338-1 | NY | |
| Acupuncturist | 171100000X | 006681-01 | NY | Primary |
Addresses
Primary practice location
66 Elmwood Ave
Selden, NY 11784-2912
Mailing address
66 Elmwood Ave
Selden, NY 11784-2912
Phone (516) 380-1915
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 |
|---|---|---|---|
| 006681-01 | NY | MD | Acupuncturist |
| 027338-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1669085213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 ELMWOOD AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842912",
"telephone_number": "516-380-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 ELMWOOD AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842912",
"telephone_number": "516-380-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA",
"first_name": "FANNY",
"middle_name": "STELLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "027338-1",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "006681-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.