Individual provider Active NPI

Kelvin Demond Swayzer

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1104435213
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594
Phone
(225) 250-5829
Fax
(225) 250-5879
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594

Mailing address

2225 College Dr Apt 169
Baton Rouge, LA 70808-1875
Phone (225) 828-2436

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

Practice roles

OrganizationSpecialtyStatusNew patients
Array of Hope Outreach Center CurrentSince Nov 5, 2023 Accepting new patients

Locations

11940 Bricksome Ave
Ste C
Baton Rouge, LA 70816
Phone (225) 250-5829

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1104435213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 COLLEGE DR APT 169",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081875",
            "telephone_number": "225-828-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-250-5829",
            "fax_number": "225-250-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYZER",
        "first_name": "KELVIN",
        "middle_name": "DEMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.