Active NPI
Marcia E Swain, CCC-SLP
- Speech-Language Pathologist
- Meridian, ID
National Provider Identifier
1083878524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1378
- Practice address
- 1833 Millenium Way
Meridian, ID 83642-1510 - Phone
- (208) 523-1200
- Fax
- (208) 346-7406
- NPI assigned
- Jul 14, 2008
- Last updated
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1378 | ID | Primary |
Addresses
Primary practice location
1833 Millenium Way
Meridian, ID 83642-1510
Mailing address
1975 Martha Ave
Idaho Falls, ID 83404-7580
Phone (208) 523-1200
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 |
|---|---|---|---|
| SLP-1378 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1083878524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 MARTHA AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047580",
"telephone_number": "208-523-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 MILLENIUM WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421510",
"telephone_number": "208-523-1200",
"fax_number": "208-346-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "MARCIA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.