Individual provider Active NPI

Swayzee Lei Ramage, FNP-C

  • Family Nurse Practitioner
  • Montezuma Creek, UT
National Provider Identifier
1235627936
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8628853-4405 Issued in UT
Practice address
1478 East Highway 162
Montezuma Creek, UT 84534-0130
Phone
(435) 651-3700
Fax
(435) 678-0608
NPI assigned
Apr 27, 2018
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 8628853-4405 UT Primary

Addresses

Primary practice location

1478 East Highway 162
Montezuma Creek, UT 84534-0130

Mailing address

1478 East Highway 162
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700

Other practice location 1

111 Sligo St
Bld B, Suite C
Cortez, CO 81321
Phone (970) 259-5303

Other names 1

  • Swayzee Lei Threlkeld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001188 UT Practitioner - Nurse Practitioner 3072867324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Rainbow Rd
Navajo Mountain, UT 84511-3910
Phone (928) 672-2498

802 S 200
Blanding, UT 84511-3910
Phone (435) 678-3601

East Hwy 262
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700

PO Box
Montezuma Creek, UT 84534

PO Box
Montezuma Creek, UT 84534-0130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8628853-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Navajo Health System, Incorporated CurrentSince May 7, 2021 Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: swayzee.ramage.1@16098.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1235627936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 EAST HIGHWAY 162",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 EAST HIGHWAY 162",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Sligo St",
            "address_2": "Bld B, Suite C",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "81321",
            "country_code": "US",
            "telephone_number": "970-259-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAGE",
        "first_name": "SWAYZEE",
        "middle_name": "LEI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8628853-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWAYZEE",
            "last_name": "THRELKELD",
            "middle_name": "LEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montezuma Creek, UT

Sources for this page

Verify at the official NPI Registry.