Individual provider Active NPI

Reginald W Savoie, NP

  • Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1780920249
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
635580 Issued in TX
Practice address
8599 9TH Ave
Port Arthur, TX 77642-8023
Phone
(409) 983-7711
Fax
(409) 985-5233
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 635580 TX Primary

Addresses

Primary practice location

8599 9TH Ave
Port Arthur, TX 77642-8023

Mailing address

5531 Cambridge St
Port Arthur, TX 77640-1788
Phone (409) 543-3688

Other identifiers 2

IdentifierTypeStateIssuer
265625OtherMEDICARE PTAN
311819204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130214000278 TX Practitioner - Nurse Practitioner 8022070168 Reassigns benefits to 1 organization
Practice locations: Port Arthur, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8599 9TH Ave
Port Arthur, TX 77642-8023
Phone (409) 983-7712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
635580TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Ride CurrentSince May 9, 2013 Accepting new patients
Pro Med Providers LLC Nurse Practitioner CurrentSince Sep 23, 2013 Accepting new patients
Martin Martin & Associates PA Past Accepting new patients
Alexander'S Children Services, Inc. PastSince Jul 24, 2022 Accepting new patients
Pioneer Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients
Port Arthur Emergency Physicians Nurse Practitioner Past Accepting new patients
Jefferson Emergency Medicine Associates PA Nurse Practitioner Past Accepting new patients

Locations

8599 9th Ave
Port Arthur, TX 77642
Phone (409) 729-7800

2001 9th Ave
Ste 102
Port Arthur, TX 77642
Phone (409) 983-7711

Organizations & group practices 7

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1780920249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 CAMBRIDGE ST",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401788",
            "telephone_number": "409-543-3688",
            "fax_number": "409-985-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428023",
            "telephone_number": "409-983-7711",
            "fax_number": "409-985-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVOIE",
        "first_name": "REGINALD",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "635580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "265625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311819204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.