Individual provider Active NPI

Anna Marie Swart, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Nampa, ID
National Provider Identifier
1134551187
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP - 2452 Issued in ID
Practice address
320 11TH Ave S Ste 204
Nampa, ID 83651-5074
Phone
(208) 466-1077
Fax
(208) 467-2201
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP - 2452 ID Primary

Addresses

Primary practice location

320 11TH Ave S Ste 204
Nampa, ID 83651-5074

Mailing address

168 McClure Ave
Nampa, ID 83651-2025
Phone (208) 466-1077

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP - 2452IDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1134551187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MCCLURE AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512025",
            "telephone_number": "208-466-1077",
            "fax_number": "208-467-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S STE 204",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515074",
            "telephone_number": "208-466-1077",
            "fax_number": "208-467-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWART",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP - 2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.