Active NPI
Sharon A Swanson, RD
- Registered Dietitian
- Harvard, IL
National Provider Identifier
1326329483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164-001861
- Practice address
- 1001 Grant St
Harvard, IL 60033-1822 - Phone
- (815) 943-5431
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164-001861 | IL | Primary |
Addresses
Primary practice location
1001 Grant St
Harvard, IL 60033-1822
Mailing address
1001 Grant St
Harvard, IL 60033-1822
Phone (815) 943-5431
Other names 1
- Sharon A Keane
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164-001861 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1326329483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331822",
"telephone_number": "815-943-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331822",
"telephone_number": "815-943-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "SHARON",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164-001861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "KEANE",
"middle_name": "A",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harvard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.