Individual provider Active NPI

Lisa D Swaim, MA

  • Speech-Language Pathologist
  • Tonganoxie, KS
National Provider Identifier
1366079758
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3019 Issued in KS
Practice address
21750 227TH St
Tonganoxie, KS 66086-4470
Phone
(913) 710-0210
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3019 KS Primary

Addresses

Primary practice location

21750 227TH St
Tonganoxie, KS 66086-4470

Mailing address

21750 227TH St
Tonganoxie, KS 66086-4470
Phone (913) 710-0210

Other identifiers 4

IdentifierTypeStateIssuer
12154709OtherASHA
12154709OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
3019OtherKSLICSENSE
NONEOtherNONE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lswaim@usd458.org Direct
Direct Messaging Address lswaim@usd458.org Direct
Direct Messaging Address lswaim@usd458.org Health Information Exchange (HIE)

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3019KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1366079758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21750 227TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660864470",
            "telephone_number": "913-710-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 227TH ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660864470",
            "telephone_number": "913-710-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIM",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12154709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "12154709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENSE",
            "identifier": "3019",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lswaim@usd458.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "21750 227th St",
            "city": "Tonganoxie",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660864470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lswaim@usd458.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "21750 227th St",
            "city": "Tonganoxie",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660864470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lswaim@usd458.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21750 227th St",
            "city": "Tonganoxie",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660864470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tonganoxie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.