Active NPI
Brenda Janine Swann, LPN
- Counselor
- Sedro Woolley, WA
National Provider Identifier
1700976875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LP00046878
- Practice address
- 7825 N Sound Dr
Sedro Woolley, WA 98284-7675 - Phone
- (800) 903-7952
- Fax
- (425) 349-8544
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LP00046878 | WA | Primary |
Addresses
Primary practice location
7825 N Sound Dr
Sedro Woolley, WA 98284-7675
Mailing address
PO Box 247
31899 Carpenter Rd.
Lyman, WA 98263-0047
Phone (360) 929-6201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP00046878 | Other | WA | NURSING LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00046878 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700976875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"address_2": "31899 CARPENTER RD.",
"city": "LYMAN",
"state": "WA",
"postal_code": "982630047",
"telephone_number": "360-929-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 N SOUND DR",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982847675",
"telephone_number": "800-903-7952",
"fax_number": "425-349-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANN",
"first_name": "BRENDA",
"middle_name": "JANINE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LP00046878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "LP00046878",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.