Individual provider Active NPI

Savannah Rae Souders, PA-C

  • Student in an Organized Health Care Education/Training Program
  • Sarasota, FL
National Provider Identifier
1962157941
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1425 S Osprey Ave Ste 1
Sarasota, FL 34239-2900
Phone
(941) 366-9060
Fax
(941) 316-9366
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1425 S Osprey Ave Ste 1
Sarasota, FL 34239-2900

Mailing address

425 S Osprey Ave # 1
Sarasota, FL 34236-6827
Phone (941) 366-9060

Other practice location 1

1700 S Tamiami Trl
Sarasota, FL 34239-3555
Phone (941) 917-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022000688 FL Practitioner - Physician Assistant 5698207108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Florida College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Associates PAGroup PAC ID 2365524915, 17 clinicians

Practice addresses (Care Compare)

1425 S Osprey Ave
Suite 1
Sarasota, FL 34239-2900
Phone 9413669060281

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Sarasota Memorial Homecare Home health agency, Sarasota, FL, CCN 107710
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: savannah.souders.1@22664.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1962157941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S OSPREY AVE # 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366827",
            "telephone_number": "941-366-9060",
            "fax_number": "941-316-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S OSPREY AVE STE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392900",
            "telephone_number": "941-366-9060",
            "fax_number": "941-316-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393555",
            "country_code": "US",
            "telephone_number": "941-917-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUDERS",
        "first_name": "SAVANNAH",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.