Active NPI
Shawn Eric Swafford, ALC
- Counselor
- Huntsville, AL
National Provider Identifier
1003590068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC04401
- Practice address
- 4820 University Dr NW
Huntsville, AL 35816-1867 - Phone
- (256) 850-4091
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC04401 | AL | Primary |
Addresses
Primary practice location
4820 University Dr NW
Huntsville, AL 35816-1867
Mailing address
4820 University Dr NW Ste 13
Huntsville, AL 35816-1867
Phone (256) 850-4091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04401 | AL | MD | Counselor |
Networks
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1003590068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 UNIVERSITY DR NW STE 13",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358161867",
"telephone_number": "256-850-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 UNIVERSITY DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358161867",
"telephone_number": "256-850-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAFFORD",
"first_name": "SHAWN",
"middle_name": "ERIC",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC04401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.