Individual provider Active NPI

Savannah Marie Crawford, APRN

  • Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1770930927
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2009022586 Issued in MO
Practice address
1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295
Phone
(417) 576-5409
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2009022586 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295

Mailing address

1965 S Fremont Ave Ste 350
Springfield, MO 65804-2295
Phone (417) 581-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20160622001384 MO Practitioner - Nurse Practitioner 3577854561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2009022586MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Oct 9, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 9, 2017 Accepting new patients

Locations

2004 W Marler Ln
Ozark, MO 65721
Phone (417) 581-3006

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

3801 S National Ave
Ste 1122
Springfield, MO 65807

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 350
Springfield, MO 65804
Phone (417) 820-3500

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1770930927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 350",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042295",
            "telephone_number": "417-581-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 350",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042295",
            "telephone_number": "417-576-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2009022586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.