Kelly Swingen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

13467-031 Issued in WI

Practice address

318 S Hudson Ave
Sturgeon Bay, WI 54235-3027

Phone

(920) 743-6806

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1306175344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S HUDSON AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353027",
            "telephone_number": "920-743-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S HUDSON AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353027",
            "telephone_number": "920-743-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGEN",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "13467-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Marie Stewart, OTR
• Elizabeth R Stubenvoll, PHARMD
• Sturgeon Bay School District
• Sunshine House Inc.
• John David Swanson, M.D.
• Karushka Switzer
• Nancy Taylor
• Nicole Temme, DDS
• Diane Thaler, M.D.
• The Cornerstone of Sturgeon Bay (The Gathering of Door County)

• Licensed Practical Nurse in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.