Active NPI
Suzanne Swift, CRNA
- Registered Nurse
- Dalton, GA
National Provider Identifier
1467538678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN046948
- Practice address
- 1200 Memorial Blvd
Dalton, GA 30720 - Phone
- (706) 259-4435
- Fax
- (706) 226-2283
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN046948 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Blvd
Dalton, GA 30720
Mailing address
1419 Chattanooga Avenue
Suite 4
Dalton, GA 30720
Phone (706) 259-4435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000550789B | Medicaid | GA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN046948 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1467538678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 CHATTANOOGA AVENUE",
"address_2": "SUITE 4",
"city": "DALTON",
"state": "GA",
"postal_code": "30720",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "30720",
"telephone_number": "706-259-4435",
"fax_number": "706-226-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "SUZANNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN046948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000550789B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.