Savannah Alder, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9410623-4405 Issued in UT

Practice address

82 N 1250 E
Logan, UT 84321-4920

Phone

(435) 770-1680

NPI assigned

May 11, 2020

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 names 1

• Savannah Skabelund Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Tree Medical GroupGroup PAC ID 5294128963, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21521/brand/1/csg/1/fhir/r4

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.

• Living Tree Medical Group

  • Family Medicine Physician
  • Logan, UT
  • NPI 1639754583
  Medicare reassignment Care Compare group NPD
• Be Well Medical, PLLC

  • Primary Care Clinic/Center
  • Hyde Park, UT
  • NPI 1669092169
  Medicare reassignment NPD
• Living Tree Urgent Care

  • Urgent Care Clinic/Center
  • Logan, UT
  • NPI 1366112922
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Oneida County Hospital

  • Critical Access Hospital
  • Malad, ID
  • NPI 1609826270
  Care Compare affiliation

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1811519085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 N 1250 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214920",
            "telephone_number": "435-770-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N 1250 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214920",
            "telephone_number": "435-770-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "SAVANNAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9410623-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "SKABELUND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon W Ahlstrom, MD
• Sherrie Ruth Ainsworth, APRN - NNP
• Sandra Omoye Akhareyi
• Albright Clinics, LLC
• Brock B Alder, LCSW
• Ahmed Alhafid
• Brianna Marie Allen, MS
• Brieanna Allen, OTR/L
• Brighton Ketts Allen, LCSW
• Emily Lynn Allen, ACMHC

• Family Nurse Practitioner in Logan, UT
• Providers in Logan, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.