Individual provider Active NPI

Stephanie Nicole Swanson, FNP

  • Family Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1447960810
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998173-NP Issued in CO
Practice address
5322 E 125TH Dr
Thornton, CO 80241-3179
Phone
(970) 590-5328
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998173-NP CO Primary

Addresses

Primary practice location

5322 E 125TH Dr
Thornton, CO 80241-3179

Mailing address

5322 E 125TH Dr
Thornton, CO 80241-3179
Phone (970) 590-5328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20230127000650 CO Practitioner - Nurse Practitioner 2365813417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Pediatrics and Internal Medicine Professional LLC CurrentSince Dec 25, 2023 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Jan 2, 2023 Accepting new patients

Locations

2121 S Oneida St
Ste 248
Denver, CO 80224
Phone (303) 504-0600

12080 Bellaire Way
Thornton, CO 80241
Phone (303) 450-2700

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1447960810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 E 125TH DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413179",
            "telephone_number": "970-590-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 E 125TH DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413179",
            "telephone_number": "970-590-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998173-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.