Individual provider Active NPI

Katherine Swan, ARNP FNP-BC

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1245671452
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9278964 Issued in FL
Practice address
816 NW 13TH St
Gainesville, FL 32601-2903
Phone
(352) 371-3212
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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 9278964 FL Primary

Addresses

Primary practice location

816 NW 13TH St
Gainesville, FL 32601-2903

Mailing address

816 NW 13TH St
Gainesville, FL 32601-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130813000977 FL Practitioner - Nurse Practitioner 3274775705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Innocent Odocha MD PAGroup PAC ID 6204961741, 4 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

605 NE 1St St
Gainesville, FL 32601-3339
Phone (352) 371-3212

PO Box
Suite 1099
Melrose, FL 32666-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9278964FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innocent Odocha MD PA CurrentSince Feb 8, 2014 Accepting new patients

Locations

816 NW 13th St
Gainesville, FL 32601
Phone (352) 273-5144

605 NE 1st St
Gainesville, FL 32601
Phone (352) 334-0955

Interoperability endpoints

  • Direct secure messaging: kswan@pci.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1245671452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012903",
            "telephone_number": "352-371-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "KATHERINE",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9278964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.