Kathryn Edith Swanson, MSN DCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

178544 Issued in MA

Practice address

222 Main Street
Southbridge, MA 01550-2593

Phone

(508) 765-7711

Fax

(508) 765-7713

NPI assigned

Jan 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mass Dermatology, PCGroup PAC ID 7416010434, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Mass Dermatology PC

  • Procedural Dermatology Physician
  • Southbridge, MA
  • NPI 1730339284
  Medicare reassignment Care Compare group Authorized official
• Rhode Island Dermatology & Cosmetic Center LLC

  • Specialist
  • Lincoln, RI
  • NPI 1972676021
  NPD (past)
• Rhode Island Dermatology Obs

  • Ambulatory Surgical Clinic/Center
  • Lincoln, RI
  • NPI 1235202201
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1437216546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN STREET",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502593",
            "telephone_number": "508-765-7711",
            "fax_number": "508-765-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN STREET",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502593",
            "telephone_number": "508-765-7711",
            "fax_number": "508-765-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KATHRYN",
        "middle_name": "EDITH",
        "credential": "MSN DCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "178544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082580A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sturbridge Professional Services, P.C.
• Courtney Sturgis
• Sunnyside Up Counseling, LLC
• Pratibha Surathi, MD
• Christine Ann Surrette
• Elizabeth Anne Swenson, MA
• Mohsin Ali Syed Alvi, MD
• Candice Syriac, LICSW
• Megan Szpakowski
• Ewelina Szydlik

• Nurse Practitioner in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.