Savanah Pencille

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

858585 Issued in NV

Practice address

119 E Long St
Carson City, NV 89706-2505

Phone

(775) 461-0025

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitality Unlimited

  dba Vitality Integrated Services Carson City

  • Community/Behavioral Health Agency
  • Carson City, NV
  • NPI 1497161905
  NPD
• Vitality Unlimited

  dba Vitality Integrated Services Dayton (Community Behavioral Health)

  • Community/Behavioral Health Agency
  • Dayton, NV
  • NPI 1255032249
  NPD (past)

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1811616576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 LAKE TAHOE BLVD APT EE7",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062505",
            "telephone_number": "775-461-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCILLE",
        "first_name": "SAVANAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95294800",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "823179",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "858585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bruce Peden
• Aimee Peglow-Hoch, M.S. CCC-SLP
• Alexandra Pelino, LCADC, LCSW
• Tanya Sue Pellant, LSW, CSW-INTERN
• Heather Pellett, M.S. CCC-SLP
• Swaroop Pendyala, M.D.,
• Suzie Penna
• Andres Pennebaker
• Barak Perahia, MD
• Stephen Lane Perry, MD

• Registered Nurse in Carson City, NV
• Providers in Carson City, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.