Active NPI
Rachel Marie Swor, APRN, CNP
- Family Nurse Practitioner
- Duluth, MN
National Provider Identifier
1215336664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP4361
- Practice address
- 1000 E 1St St Ste 204
Duluth, MN 55805-2297 - Phone
- (218) 249-3306
- Fax
- (218) 249-5613
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6115-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | R198102-1 | MN | |
| Family Nurse Practitioner | 363LF0000X | CNP4361 | MN | Primary |
Addresses
Primary practice location
1000 E 1St St Ste 204
Duluth, MN 55805-2297
Mailing address
1000 E 1St St Ste 204
Duluth, MN 55805-2297
Phone (218) 249-3306
Other names 1
- Rachel Marie Davis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150203000043 | WI | Practitioner - Nurse Practitioner | 1355666991 | Practice locations: Superior, WI |
| I20160203000859 | MN | Practitioner - Nurse Practitioner | 1355666991 | Practice locations: Duluth, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP4361 | MN | MD | Family Nurse Practitioner |
| R198102-1 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care Virginia PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Roanoke, VA
- NPI 1407498397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1215336664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 1ST ST STE 204",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-3306",
"fax_number": "218-249-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 1ST ST STE 204",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-3306",
"fax_number": "218-249-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWOR",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "6115-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R198102-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP4361",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1000 E 1st St Ste 204",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558052297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "DAVIS",
"middle_name": "MARIE",
"credential": "APRN, CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.