Savannah Carlson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1800819 Issued in KS

Practice address

1686 W Barbara Worth Dr
El Centro, CA 92243-2110

Phone

(620) 755-1063

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1881133973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 W BARBARA WORTH DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W BARBARA WORTH DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432110",
            "telephone_number": "620-755-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SAVANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "1800819",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3459",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA14929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Cardona
• Efrain Cardona
• Joaquin Jose Cardoza
• Caring Hearts Transportation and in Home Care
• Maria Jesus Carlon
• Nicholas M Carovich, D.P.M.
• Cecelia Carr, BA, RBT
• Valeria Fernanda Carrera Vasquez, MS: PSYCHOLOGY
• Cecilia Olive Carrick, M.D.
• Jazmin Carrillo

• Occupational Therapy Assistant in El Centro, CA
• Providers in El Centro, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.