Individual provider Active NPI

Swapna Dutta, FNP

  • Family Nurse Practitioner
  • Fairchild Air Force Base, WA
National Provider Identifier
1669133435
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61247831 Issued in WA
Practice address
701 Hospital Loop Ste 321
Fairchild Air Force Base, WA 99011-8704
Phone
(509) 688-9687
NPI assigned
Jan 4, 2022
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 AP61247831 WA Primary

Addresses

Primary practice location

701 Hospital Loop Ste 321
Fairchild Air Force Base, WA 99011-8704

Mailing address

701 Hospital Loop Ste 321
Fairchild Air Force Base, WA 99011-8704
Phone (509) 688-9687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220120001867 WA Practitioner - Nurse Practitioner 2365834561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Health Ctr of Med Lake PSGroup PAC ID 2567464696, 9 clinicians

Practice addresses (Care Compare)

731 N Stanley St
Medical Lake, WA 99022-8940
Phone (509) 299-6900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Ctr of Med Lake PS CurrentSince Jun 1, 2024 Accepting new patients
Bastion Health PC Family CurrentSince Jan 1, 2022 Accepting new patients

Locations

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

731 N Stanley St
Medical Lake, WA 99022
Phone (509) 299-6900

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1669133435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP STE 321",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-688-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP STE 321",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-688-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "SWAPNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61247831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairchild Air Force Base, WA

Sources for this page

Verify at the official NPI Registry.