Susan G Swanson, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277000681 Issued in IL

Practice address

1095 Pingree Rd Ste 108
Crystal Lake, IL 60014

Phone

(815) 459-6655

Fax

(847) 658-9922

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: susan.swanson.1@19247.direct.athenahealth.com

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1225088636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141726",
            "telephone_number": "815-459-6655",
            "fax_number": "847-658-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINGREE RD STE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-459-6655",
            "fax_number": "847-658-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRACTICE AUTHORITY APRN",
            "identifier": "277000681",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan J. Coe, PHD., P.C.
• Hunter Sussky
• Sharon Ruth Swan, L.P.N.
• Swank Therapy LLC
• Alex Kazimier Swanson, DC
• Lyubomyra Sydor
• Syed S. Asghar M.D.P.C.
• Syedfaisal Enterprises Inc
• Synaptx, LTD
• Synergy Chiropractic Wellness Center Inc. (Life Force Chiropractic)

• Family Nurse Practitioner in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.