Swan Integrative Health & Wellness LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

SWAN INTEGRATIVE HEALTH & WELLNESS LLC

Practice address

49 Welles St Ste 215
Glastonbury, CT 06033-4205

Phone

(860) 325-2679

Fax

(860) 316-4064

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Marie Swan, APRN, DNPNPI 1043321540

Title

Owner

Phone

(860) 325-2679

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Marie Swan, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Glastonbury, CT
  • NPI 1043321540
  Medicare reassignment Care Compare group Authorized official
• Maura Aaberg, C.N.M., W.H.N.P.

  • Advanced Practice Midwife
  • Manchester, CT
  • NPI 1255630869

  Women's Health

  Medicare reassignment Care Compare group NPD
• Deirdre A Brannin, APRN

  • Family Nurse Practitioner
  • Northford, CT
  • NPI 1235561457
  Medicare reassignment Care Compare group NPD
• Michelle Lynn Kennedy, NP

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1891836110
  Medicare reassignment NPD

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1265892541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290650",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290650",
            "telephone_number": "860-670-6626",
            "fax_number": "860-316-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WELLES ST STE 215",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334205",
            "telephone_number": "860-325-2679",
            "fax_number": "860-316-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN INTEGRATIVE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-325-2679",
        "authorized_official_credential": "APRN, DNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008069858",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008092242",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Susat, DDS
• Shannon McKernan Sutherland, MD
• Jessica Sutton, MS, RD
• Robert G Sutton, PH.D.
• Colleen Suzio
• Amanda Marie Swan, APRN, WHNP-BC
• Donna Sweeney
• Timothy Allen Sweigard, D.C.
• Stephanie L Switzer, LPC
• Naimet A. Syed, M.D.

• Women's Health Nurse Practitioner in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Women's Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.