Active NPI
Savanah Petersen
- Athletic Trainer
- La Vernia, TX
National Provider Identifier
1730010752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 332 Lost Trail Cir
La Vernia, TX 78121-9520 - Phone
- (210) 840-8566
- NPI assigned
- May 27, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
332 Lost Trail Cir
La Vernia, TX 78121-9520
Mailing address
4194 Burbank Dr Apt 104a
Baton Rouge, LA 70808-6201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1730010752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4194 BURBANK DR APT 104A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708086201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 LOST TRAIL CIR",
"city": "LA VERNIA",
"state": "TX",
"postal_code": "781219520",
"telephone_number": "210-840-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "SAVANAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vernia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.