Savannah R Fetzer

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

2907 Clearwater Rd Ste 100
Saint Cloud, MN 56301-6191

Phone

(320) 237-6571

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1801536388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 CLEARWATER RD STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016191",
            "telephone_number": "320-237-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 CLEARWATER RD STE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016191",
            "telephone_number": "320-237-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZER",
        "first_name": "SAVANNAH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Fernandes, MD
• Elizabeth A Fernandez, MD
• Kelijo M Fernholz, M.S., ACSM-CES
• Gamaliel Jesse Ferrer, MD
• Kayla Ferrie, MSW, LICSW
• Elizabeth Louise Fiedler
• Laurie Ann Fiedler, LPN
• Amelia Fierro-Fine, MD
• Gabriel Fierro-Fine, MD
• Fikooni Healthcare Services Inc

• Day Training/Habilitation Specialist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Day Training/Habilitation Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.