Individual provider Active NPI

Katherynn Bonita Swayzer, CNM

  • Advanced Practice Midwife
  • Wasilla, AK
National Provider Identifier
1013847417
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
255633 Issued in AK
Practice address
5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone
(970) 373-3420
Fax
(907) 376-7847
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 255633 AK Primary

Addresses

Primary practice location

5000 E Shennum Dr
Wasilla, AK 99654-7718

Mailing address

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420

Other practice location 1

5730 E Pilgrim Ct
Wasilla, AK 99654-7824
Phone (907) 373-3420

Other practice location 2

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000

Other names 1

  • Katherynn Bonita Barlow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
255633AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Birth Center, LLC PastSince Mar 19, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1013847417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E SHENNUM DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547718",
            "telephone_number": "970-373-3420",
            "fax_number": "907-376-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 E Pilgrim Ct",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547824",
            "country_code": "US",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Woodworth Loop",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996458984",
            "country_code": "US",
            "telephone_number": "907-861-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAYZER",
        "first_name": "KATHERYNN",
        "middle_name": "BONITA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "255633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERYNN",
            "last_name": "BARLOW",
            "middle_name": "BONITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.