Donna Swilley

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

MSAT0023 Issued in MS

Practice address

14528 Indian Trails Cir
Diberville, MS 39540-8607

Phone

(228) 669-8018

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Donna Swilley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1669908596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14528 INDIAN TRAILS CIR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408607",
            "telephone_number": "228-669-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14528 INDIAN TRAILS CIR",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408607",
            "telephone_number": "228-669-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWILLEY",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "MSAT0023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIEDL ATHLETIC TRAINER",
            "identifier": "MS0023AT",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SWILLEY",
            "prefix": "MS.",
            "credential": "ATC, LAT, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Athletic Trainer in Diberville, MS
• Providers in Diberville, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.