KEIKO SAWANO DNP FNP-C NPI 1114369881

NPI Information

NPI: 1114369881
Provider Name: KEIKO SAWANO, DNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
4 MEMORIAL DR STE 230
ALTON, IL
ZIP 62002
Phone: (618) 465-8666
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Keiko Sawano, DNP, FNP-C is a family nurse practitioner in Alton, IL with 12 years of experience. Keiko Sawano, DNP, FNP-C NPI is 1114369881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4 MEMORIAL DR STE 230
ALTON, IL
ZIP 62002-704
Phone: (618) 465-8666

The NPI 1114369881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2013 and was last updated on 7/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.013851	ILLINOIS	Yes
2	363LF0000X	Nurse Practitioner	Family	2013006956	MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2013006956	OTHER	MISSOURI	NP LICENSURE/RECOGNITION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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