Individual provider Active NPI

Savannah Brooke Pennington, FNP

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1962269274
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033393 Issued in FL
Practice address
36440 US Highway 19 N
Palm Harbor, FL 34684-1330
Phone
(727) 786-0696
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033393 FL Primary

Addresses

Primary practice location

36440 US Highway 19 N
Palm Harbor, FL 34684-1330

Mailing address

3298 Valemoor Dr
Palm Harbor, FL 34685-1740
Phone (304) 539-0921

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
I20240718004726 FL Practitioner - Nurse Practitioner 2769928365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11033393FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman & Hampsey Medical Clinic, Inc CurrentSince Jul 5, 2024 Accepting new patients
Bowman & Hampsey Mdspa Past Accepting new patients
Susan Baldi DO PA PastSince Jun 16, 2024 Accepting new patients

Locations

3251 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-6110

3251 N McMullen Booth Rd
Ste 303
Clearwater, FL 33761
Phone (727) 725-6110

4355 E Bay Dr
Ste 200
Clearwater, FL 33764
Phone (727) 873-0101

36440 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 786-0696

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1962269274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 VALEMOOR DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851740",
            "telephone_number": "304-539-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36440 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-786-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SAVANNAH",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.