Individual provider Active NPI

Martha Brown Swinney, MA, CCC-SLP

  • Speech-Language Pathologist
  • Bosque Farms, NM
National Provider Identifier
1174750780
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
350 Issued in NM
Practice address
1880 Wasmer Cir
Bosque Farms, NM 87068-9698
Phone
(505) 869-2201
Fax
(505) 869-8416
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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 350 NM Primary

Addresses

Primary practice location

1880 Wasmer Cir
Bosque Farms, NM 87068-9698

Mailing address

1880 Wasmer Cir
Bosque Farms, NM 87068-9698
Phone (505) 869-2201

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1174750780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WASMER CIR",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689698",
            "telephone_number": "505-869-2201",
            "fax_number": "505-869-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WASMER CIR",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689698",
            "telephone_number": "505-869-2201",
            "fax_number": "505-869-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINNEY",
        "first_name": "MARTHA",
        "middle_name": "BROWN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bosque Farms, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.