Individual provider Active NPI

Kimberly Poots Szwed, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1245620806
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007455 Issued in NC
Practice address
8632 Wapello LN
Raleigh, NC 27613-1268
Phone
(919) 673-8008
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 5007455 NC Primary

Addresses

Primary practice location

8632 Wapello LN
Raleigh, NC 27613-1268

Mailing address

8632 Wapello LN
Raleigh, NC 27613-1268
Phone (919) 673-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007455NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1245620806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8632 WAPELLO LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131268",
            "telephone_number": "919-673-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 WAPELLO LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131268",
            "telephone_number": "919-673-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZWED",
        "first_name": "KIMBERLY",
        "middle_name": "POOTS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.