Active NPI
Audrey Marie Swift
- Behavior Technician
- Walnut Creek, CA
National Provider Identifier
1477028207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538 - Phone
- (925) 822-7836
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
2730 Shadelands Dr BLDG 10
Walnut Creek, CA 94598-2538
Mailing address
41849 Higgins Way
Fremont, CA 94539-4615
Phone (510) 656-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1477028207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41849 HIGGINS WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945394615",
"telephone_number": "510-656-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DR BLDG 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982538",
"telephone_number": "925-822-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "AUDREY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106S00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.