Individual provider Active NPI

Thomas Kevin Swahn, NP-C

  • Family Nurse Practitioner
  • Syracuse, UT
National Provider Identifier
1194390971
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8002260-8900 Issued in UT
Practice address
1013 W 2700 S
Syracuse, UT 84075-8973
Phone
(801) 613-8842
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8002260-8900 UT Primary

Addresses

Primary practice location

1013 W 2700 S
Syracuse, UT 84075-8973

Mailing address

2267 S 2775 W
Syracuse, UT 84075-7095
Phone (801) 390-4972

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

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1194390971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 S 2775 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757095",
            "telephone_number": "801-390-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 W 2700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758973",
            "telephone_number": "801-613-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAHN",
        "first_name": "THOMAS",
        "middle_name": "KEVIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8002260-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.