Active NPI
Maegan R Savage, CNIM, LSA, CSFA, CST
- Electroneurodiagnostic Specialist/Technologist
- Glendale, AZ
National Provider Identifier
1669612685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3853
- Practice address
- 14008 N 52ND Ave
Glendale, AZ 85306-4813 - Phone
- (817) 851-5517
- NPI assigned
- Mar 3, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 113405 | TX | |
| Surgical Assistant | 246ZC0007X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 3853 | TX | Primary |
| Surgical Technologist | 246ZS0410X | 113405 | TX |
Addresses
Primary practice location
14008 N 52ND Ave
Glendale, AZ 85306-4813
Mailing address
14008 N 52ND Ave
Glendale, AZ 85306-4813
Phone (817) 851-5517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3853 | Other | TX | ABRET |
| 113405 | Other | TX | THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING |
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 |
|---|---|---|---|
| 3853 | TX | MD | Marriage & Family Therapist |
| 113405 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1669612685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14008 N 52ND AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064813",
"telephone_number": "817-851-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14008 N 52ND AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064813",
"telephone_number": "817-851-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE",
"first_name": "MAEGAN",
"middle_name": "R",
"credential": "CNIM, LSA, CSFA, CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "113405",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "3853",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "113405",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABRET",
"identifier": "3853",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING",
"identifier": "113405",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.