Savannah Warner, MSAT, LAT, ATC

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

AT8419 Issued in TX

Practice address

7415 S US Highway 281
Stephenville, TX 76401-6202

Phone

(254) 595-2879

NPI assigned

Jan 10, 2019

Reactivated

Jan 23, 2019

Last updated

Mar 28, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1821561978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW AVENUE M APT 422",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143529",
            "telephone_number": "254-595-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 S US HIGHWAY 281",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764016202",
            "telephone_number": "254-595-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "SAVANNAH",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "deactivation_date": "2019-01-12",
        "reactivation_date": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan A Walker, LCSW
• Lena Marie Walker, MS CCC SLP
• Kynnadi Ayri Wallace
• Nickki Dawn Walter, APRN-CNP, FNP-BC
• Thomas Michael Ward, D.C.
• Cheryl Lynn Warwick, LVN
• Alana Lund Waterford, M.D.
• Kristen Watt, OD
• Andrew Jackson Weeks IV, LPC
• Cynthia Welch, LCSW-S

• Sports Medicine (Preventive Medicine) Physician in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Sports Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.