Savannah Stanley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012490 Issued in KY

Practice address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Phone

(440) 368-6868

Fax

(440) 368-6866

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Savannah Reyna Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1992574354

  Single Specialty

  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1447029798

  Single Specialty

  Medicare reassignment NPD
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1700323987

  Single Specialty

  Medicare reassignment NPD
• Molina Care Connections, LLC.

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  KY, Single Specialty

  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126

  Single Specialty

  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591

  Single Specialty

  NPD
• Mills Medical Practices, LLC

  • Primary Care Clinic/Center
  • Abingdon, VA
  • NPI 1841920287

  Single Specialty

  NPD

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1750877353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 JESSICA DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400047928",
            "telephone_number": "502-507-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "440-368-6868",
            "fax_number": "440-368-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SAVANNAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14280852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "REYNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Stang, COTA/L
• John Russell Stanger
• Jolanta Staniszewska, MSW, QMHP
• Christian Stanley
• Katherine Stanley, MD
• William Robert Stanley, LCSW
• William Kevin Stansberry
• Stephen W Stansbury, MD
• James E Stanton, MD
• Morris Duncan Stanton, PHD

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.