Active NPI
Savannah Vance, CCC-SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1821634874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007032
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Nov 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 190091 | AL | |
| Speech-Language Pathologist | 235Z00000X | 1435733 | MI | |
| Speech-Language Pathologist | 235Z00000X | 7101007032 | MI | Primary |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
4501 Woodcock Way
Highland, MI 48357-3970
Phone (248) 758-8811
Other practice location 1
2806 Dr John Haynes Dr
Pell City, AL 35125-1485
Phone (205) 884-7621
Other practice location 2
2636 S Milford Rd
Highland, MI 48357-4938
Phone (124) 868-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190091 | AL | MD | Speech-Language Pathologist |
| 1435733 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps Academy Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15135/brand/2/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Pell City, AL
- NPI 1336635622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1821634874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 WOODCOCK WAY",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483573970",
"telephone_number": "248-758-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CHESTNUT STATION CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996395",
"telephone_number": "800-335-1060"
}
],
"practiceLocations": [
{
"address_1": "2806 Dr John Haynes Dr",
"address_purpose": "LOCATION",
"city": "Pell City",
"state": "AL",
"postal_code": "351251485",
"country_code": "US",
"telephone_number": "205-884-7621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2636 S Milford Rd",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "MI",
"postal_code": "483574938",
"country_code": "US",
"telephone_number": "124-868-4961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANCE",
"first_name": "SAVANNAH",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "190091",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "1435733",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.