Donna Swan
Individual provider Active NPI Attendant Care Provider · De Soto, MO
NPI 1013671395 · NPPES record last updated Oct 24, 2021
Key facts
- NPI
- 1013671395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 903 Rock Rd
De Soto, MO 63020-1801 - Phone
- (636) 543-1250
- NPI assigned
- Oct 24, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
903 Rock Rd
De Soto, MO 63020-1801
Mailing address
903 Rock Rd
De Soto, MO 63020-1801
NPI Registry JSON
{
"created_epoch": "1635033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1013671395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 ROCK RD",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630201801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 ROCK RD",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630201801",
"telephone_number": "636-543-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-24",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in De Soto, MO · Attendant Care Provider in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.