Individual provider Active NPI

Sarah Lynn Swisher-Leatherman, D.C.

  • Chiropractor
  • Mary Esther, FL
National Provider Identifier
1104993609
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8734 Issued in FL
Practice address
431 E Hollywood Blvd
Mary Esther, FL 32569-2058
Phone
(850) 864-5300
Fax
(850) 864-3900
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8734 FL Primary

Addresses

Primary practice location

431 E Hollywood Blvd
Mary Esther, FL 32569-2058

Mailing address

431 E Hollywood Blvd
Mary Esther, FL 32569-2058
Phone (850) 864-5300

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
8734FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1104993609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E HOLLYWOOD BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692058",
            "telephone_number": "850-864-5300",
            "fax_number": "850-864-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E HOLLYWOOD BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325692058",
            "telephone_number": "850-864-5300",
            "fax_number": "850-864-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER-LEATHERMAN",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.