Individual provider Active NPI

Rebecca Ann Swainston, MS FNP-C

  • Family Nurse Practitioner
  • Middleton, ID
National Provider Identifier
1508201757
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
N-34055 Issued in ID
Practice address
381 S Middleton Rd Ste B
Middleton, ID 83644-5369
Phone
(208) 585-6311
Fax
(208) 585-6221
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-27322 ID
Family Nurse Practitioner 363LF0000X N-34055 ID Primary

Addresses

Primary practice location

381 S Middleton Rd Ste B
Middleton, ID 83644-5369

Mailing address

PO Box 277976
Atlanta, GA 30384-7976

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address REBECCA.SWAINSTON@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20151124002402 ID Practitioner - Nurse Practitioner 0446550495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N-34055IDMDFamily Nurse Practitioner
NP-27322IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
West Valley Medical Group Specialty Services LLC Past Accepting new patients
Hti Physican Services of Utah,Inc Past Accepting new patients

Organizations & group practices 3

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1508201757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277976",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S MIDDLETON RD STE B",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445369",
            "telephone_number": "208-585-6311",
            "fax_number": "208-585-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAINSTON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "MS FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-27322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-34055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "REBECCA.SWAINSTON@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "381 S Middleton Rd Ste B",
            "city": "Middleton",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836445369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

Verify at the official NPI Registry.