Organization Active NPI

Swanson Family Practice PLLC

  • Family Medicine Physician
  • Danville, IL
National Provider Identifier
1104461870
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SWANSON FAMILY PRACTICE PLLC
Practice address
723 N Logan Ave
Danville, IL 61832-4384
Phone
(217) 213-5808
Fax
(217) 213-6290
NPI assigned
Nov 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dina G Swanson, FNPNPI 1184052516
Title
Nurse Practitioner
Phone
(217) 552-6687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

723 N Logan Ave
Danville, IL 61832-4384

Mailing address

1836 County Road 1250 N
Urbana, IL 61802-9514
Phone (217) 552-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200206000926 IL Part B Supplier - Clinic/Group Practice 1759717911 Receives reassigned benefits from 3 practitioners
Practice locations: Danville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2176023Swanson Family Practice, PLLC723 N Logan Ave, Danville, IL 61832Certificate of waiverDec 5, 2027

National Provider Directory

National Provider Directory
Part of
Swanson Family Practice PLLC

Locations

723 N Logan Ave
Ste 1
Danville, IL 61832
Phone (217) 213-5808

733 N Logan Ave
Ste 1
Danville, IL 61832

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20711/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1104461870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 COUNTY ROAD 1250 N",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618029514",
            "telephone_number": "217-552-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324384",
            "telephone_number": "217-213-5808",
            "fax_number": "217-213-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "217-552-6687",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.