Active NPI
Mario Jesse McSwain
- Community Health Worker
- Clearfield, UT
National Provider Identifier
1326653031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 430 E 450 S
Clearfield, UT 84015-1736 - Phone
- (801) 635-5022
- NPI assigned
- Sep 10, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
430 E 450 S
Clearfield, UT 84015-1736
Mailing address
299 N 200 W # 200
Bountiful, UT 84010-7043
Phone (801) 683-8962
Other practice location 1
299 N 200 W # 200
Bountiful, UT 84010-7043
Phone (801) 683-8962
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1326653031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 N 200 W # 200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107043",
"telephone_number": "801-683-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E 450 S",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151736",
"telephone_number": "801-635-5022"
}
],
"practiceLocations": [
{
"address_1": "299 N 200 W # 200",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840107043",
"country_code": "US",
"telephone_number": "801-683-8962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCSWAIN",
"first_name": "MARIO",
"middle_name": "JESSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.