Individual provider Active NPI

Tiesha Jacquel Swanier, B.S., SLP- ASSISTANT

  • Speech-Language Assistant
  • Fort Worth, TX
National Provider Identifier
1689156317
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
39391 Issued in TX
Practice address
3800 W Risinger Rd
Fort Worth, TX 76123-2346
Phone
(817) 360-5150
NPI assigned
Aug 29, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 39391 TX Primary

Addresses

Primary practice location

3800 W Risinger Rd
Fort Worth, TX 76123-2346

Mailing address

101 Summit Ave
Fort Worth, TX 76102-2618
Phone (682) 730-0004

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
39391TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1689156317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022618",
            "telephone_number": "682-730-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RISINGER RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232346",
            "telephone_number": "817-360-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANIER",
        "first_name": "TIESHA",
        "middle_name": "JACQUEL",
        "name_prefix": "Mrs.",
        "credential": "B.S., SLP- ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "39391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.