Active NPI
Susanne Scott Swallow, LM, CPM
- Midwife
- Kings Beach, CA
National Provider Identifier
1245478742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM146
- Practice address
- 8762 North Lake Blvd.
Kings Beach, CA 96143 - Phone
- (530) 546-9161
- Fax
- (530) 581-1237
- NPI assigned
- Jan 22, 2009
- Last updated
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM146 | CA | Primary |
Addresses
Primary practice location
8762 North Lake Blvd.
Kings Beach, CA 96143
Mailing address
PO Box 2495
Kings Beach, CA 96143-2495
Phone (530) 584-2388
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM146 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1245478742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2495",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961432495",
"telephone_number": "530-584-2388",
"fax_number": "530-581-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8762 NORTH LAKE BLVD.",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "96143",
"telephone_number": "530-546-9161",
"fax_number": "530-581-1237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWALLOW",
"first_name": "SUSANNE",
"middle_name": "SCOTT",
"name_prefix": "Mrs.",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.