Individual provider Active NPI

Gail Joanne Swanstrom, AUD

  • Audiologist
  • Hillsboro, OR
National Provider Identifier
1043201874
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
20535 Issued in OR
Practice address
900 SE Oak St.
#201
Hillsboro, OR 97123-4287
Phone
(503) 648-8971
Fax
(503) 640-6461
NPI assigned
Nov 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 20535 OR Primary

Addresses

Primary practice location

900 SE Oak St.
#201
Hillsboro, OR 97123-4287

Mailing address

900 SE. Oak St.
#201
Hillsboro, OR 97123-4287
Phone (503) 648-8971

Other identifiers 1

IdentifierTypeStateIssuer
196253MedicaidOR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20535ORMDAudiologist

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dab37ab4-940f-46d2-83dd-9830ab97c4d5/

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1043201874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE. OAK ST.",
            "address_2": "#201",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234287",
            "telephone_number": "503-648-8971",
            "fax_number": "503-640-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OAK ST.",
            "address_2": "#201",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234287",
            "telephone_number": "503-648-8971",
            "fax_number": "503-640-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSTROM",
        "first_name": "GAIL",
        "middle_name": "JOANNE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196253",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.