Carissa Marie Swilley

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378

Phone

(315) 701-1107

NPI assigned

Aug 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1174879662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HATHERLEIGH RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092232",
            "telephone_number": "315-430-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-701-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWILLEY",
        "first_name": "CARISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Sutliff, D.C.
• John Sveen, M.D.
• Anne E Swan, NP
• Candace Joy Sweeney
• Margaret Gambee Sweet, PA-C
• Syracuse Endoscopy Associates, LLC
• Syracuse Gastroenterological Associates PC
• Syracuse Gastroenterological Associates.PC
• Syracuse Gynecology PLLC
• Syracuse Orthopedic Specialists, PC

• Early Intervention Provider Agency in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.