Individual provider Active NPI

Kristen Swafford, PHD, RN, CNS

  • Gerontology Registered Nurse
  • Gaston, OR
National Provider Identifier
1366842007
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
200670004CNS Issued in OR
Practice address
23375 NE Ridge Rd
Gaston, OR 97119-8402
Phone
(503) 841-8174
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200241377RN OR
Gerontology Registered Nurse 163WG0600X 200670004CNS OR Primary

Addresses

Primary practice location

23375 NE Ridge Rd
Gaston, OR 97119-8402

Mailing address

23375 NE Ridge Rd
Gaston, OR 97119-8402
Phone (503) 841-8174

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
Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
200241377RNORMDRegistered Nurse
200670004CNSORMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1366842007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23375 NE RIDGE RD",
            "city": "GASTON",
            "state": "OR",
            "postal_code": "971198402",
            "telephone_number": "503-841-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23375 NE RIDGE RD",
            "city": "GASTON",
            "state": "OR",
            "postal_code": "971198402",
            "telephone_number": "503-841-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAFFORD",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200241377RN",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OR",
            "license": "200670004CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.