Kenneth D Swazer, BHT II

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4000 San Ernesto Ave
Anchorage, AK 99508-2874

Phone

(907) 729-5020

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 Peninsula General Hospital Inc

  dba Central Peninsula Family & Pediatrics - Soldotna

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1295059921
  NPD (past)
• Central Peninsula General Hospital, Inc

  dba Central Peninsula Care Transitions

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1073043717
  NPD (past)
• Central Peninsula General Hospital, Inc

  dba Central Peninsula Gastroenterology

  • Gastroenterology Physician
  • Soldotna, AK
  • NPI 1154194819
  NPD (past)
• Central Peninsula General Hospital, Inc

  dba Serenity House Treatment Facility

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1174122766
  NPD (past)
• Central Peninsula General Hospital, Inc

  dba Diamond Willow Sober Living

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1679179204
  NPD (past)
• Choices, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1811511124
  NPD (past)
• Choices, Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1962583625
  NPD (past)

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1548646961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8901",
            "fax_number": "907-729-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAN ERNESTO AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082874",
            "telephone_number": "907-729-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Binkley St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697500",
            "country_code": "US",
            "telephone_number": "907-714-4521",
            "fax_number": "907-260-4063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47480 Kristina Way",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996115902",
            "country_code": "US",
            "telephone_number": "907-714-4521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "362 Tyee St",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697631",
            "country_code": "US",
            "telephone_number": "907-714-4521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Tyee St",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697657",
            "country_code": "US",
            "telephone_number": "907-714-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAZER",
        "first_name": "KENNETH",
        "middle_name": "D",
        "credential": "BHT II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH9780",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kswazer2293137@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "address_1": "245 N Binkley St Ste 202",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Wayne Swartz, M.D.
• Jamie Swartz, DO
• Samantha Michele Swatek, PHARM D
• Victoria Swatek, LPC, CATP
• Kenneth Craig Swayman, DPM
• Brian F Sweeney, MD
• Brian Felix Sweeney Jr., M.D.
• Tarah Adrienne Sweeney, DPT
• Theresa Anne Sweeney, DNP
• Marissa Sweet

• Behavior Technician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.