Savannah Skyy Monette, MS, LAT, ATC, NR-EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002240 Issued in MI

Practice address

110 S Madison St
Adrian, MI 49221-2575

Phone

(734) 751-0617

NPI assigned

May 29, 2018

Last updated

Jul 13, 2020By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1922599620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MADISON ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212575",
            "telephone_number": "734-751-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MADISON ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212575",
            "telephone_number": "734-751-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONETTE",
        "first_name": "SAVANNAH",
        "middle_name": "SKYY",
        "credential": "MS, LAT, ATC, NR-EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "2004863",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility Matters 360, Inc.
• Michael Mohler, LMSW
• Peggy Joan Molter, MA LPC
• Amber Marie Monahan, LLBSW QMRP
• Jessie Lee Monahan, LLPC
• Brandon James Moody I
• Sang-Yoon Moon
• Andrew Moore, PHARMD
• Makenzie Nicole Moore
• Michelle Moorehead

• Athletic Trainer in Adrian, MI
• Providers in Adrian, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.