Savannah B Stacey

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024180737 Issued in VA

Practice address

743 Graydon Ave
Norfolk, VA 23507-1620

Phone

(904) 599-3813

NPI assigned

Jan 13, 2021

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Regents of the University of

  dba University Anesthesia Associates

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1487602546
  Medicare reassignment NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1871182063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071620",
            "telephone_number": "904-599-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 GRAYDON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071620",
            "telephone_number": "904-599-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "SAVANNAH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024180737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith B St George, NP
• St Marys Home for Disabled Children
• Harvey Sheldon St. Clair, M.D.
• Carl Raphael St. Remy, M.D.
• Laura M Stacey, M.ED., BCBA, LBA
• John Leroy Stacy Jr., CSAC, LPC
• Anthony Todd Stainback, RPH
• Eric William Staley, NAVY IDC
• Chakia Nicole Stallings, LPC
• Chanel Stallings

• Certified Registered Nurse Anesthetist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.