Susan Rae Swiedom, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 12011 Issued in CA

Practice address

1061 Harmon Avenue
Ste 1D03
Fort Stewart, GA 31314-5674

Phone

(912) 435-6349

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1710957238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVENUE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVENUE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIEDOM",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 12011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Suhayda, MS, RDN, LDN
• Amanda D Sumner, MD
• Tanya Sumoski, RDMS
• Kyle Sunshein, MD
• Ricardo None Swenness, PA-C
• Cleve B Sylvester, PHYSICIAN ASSIATANT
• Bozhena Tabakman, NP-C
• Jake Tablerion, DPT
• Jowanda Laprisha Taft, PHARM.D.
• Donald L. Taillon, M.D.

• Speech-Language Pathologist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.