Active NPI
Theresa Marie Swift, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Champaign, IL
National Provider Identifier
1669454740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9271688
- Practice address
- 2001 N Mattis Ave Unit 7230
Champaign, IL 61826-0991 - Phone
- (217) 840-1419
- NPI assigned
- Nov 15, 2005
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209-000388 | IL | |
| Registered Nurse | 163W00000X | 28150300A | IN | |
| Registered Nurse | 163W00000X | 9271688 | FL | |
| Registered Nurse | 163W00000X | 574749 | TX | |
| Registered Nurse | 163W00000X | 3007658 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9271688 | FL | Primary |
Addresses
Primary practice location
2001 N Mattis Ave Unit 7230
Champaign, IL 61826-0991
Mailing address
2001 N Mattis Ave Unit 7230
Champaign, IL 61826-0991
Phone (217) 840-1419
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371390028001 | Other | IL | TRICARE GROUP ID NO. |
| 216564000 | Other | IL | WORKMAN'S COMP GROUP ID |
| 430068235 | Other | IL | RR MEDICARE PIN |
| CG3273 | Other | IL | RR MEDICARE GROUP ID NO. |
| GV765Y | Other | FL | MEDICARE PTAN |
| 09223524 | Other | IL | BC/BS GROUP ID NO. |
| 008321200 | Medicaid | FL |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9271688 | FL | MD | Registered Nurse |
| 28150300A | IN | MD | Registered Nurse |
| 3007658 | KY | MD | Registered Nurse |
| 574749 | TX | MD | Registered Nurse |
| 209-000388 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Vigilant Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Marion, IL
- NPI 1356327282
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
- NPI 1780655654
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1669454740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N MATTIS AVE UNIT 7230",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618260991",
"telephone_number": "217-840-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N MATTIS AVE UNIT 7230",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618260991",
"telephone_number": "217-840-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "THERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-000388",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28150300A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9271688",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "574749",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "3007658",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9271688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE GROUP ID NO.",
"identifier": "371390028001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMAN'S COMP GROUP ID",
"identifier": "216564000",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "430068235",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP ID NO.",
"identifier": "CG3273",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GV765Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP ID NO.",
"identifier": "09223524",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008321200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.