Individual provider Active NPI

Savannah Shayne Warren

  • Audiologist
  • Spokane, WA
National Provider Identifier
1861055436
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61238396 Issued in WA
Practice address
801 W 5TH Ave Ste 421
Spokane, WA 99204-2841
Phone
(509) 835-5111
Fax
(509) 835-5222
NPI assigned
Apr 18, 2019
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD61238396 WA
Audiologist 231H00000X LD61238396 WA Primary

Addresses

Primary practice location

801 W 5TH Ave Ste 421
Spokane, WA 99204-2841

Mailing address

801 W 5TH Ave Ste 421
Spokane, WA 99204-2841
Phone (509) 835-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000872 WA Practitioner - Qualified Audiologist 6103154497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SC Audiology PLLCGroup PAC ID 2365812088, 2 clinicians

Practice addresses (Care Compare)

801 W 5TH Ave
Suite 421
Spokane, WA 99204-2841
Phone (509) 835-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD61238396WAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
SC Audiology PLLC Audiologist CurrentSince Feb 1, 2022 Accepting new patients

Locations

801 W 5th Ave
Ste 421
Spokane, WA 99204
Phone (208) 524-4445

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

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1861055436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE STE 421",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-835-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE STE 421",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-835-5111",
            "fax_number": "509-835-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "SAVANNAH",
        "middle_name": "SHAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD61238396",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61238396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.