Tara B Swanson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2104 Greenbriar Dr
Southlake, TX 76092-8355

Phone

(817) 442-9022

NPI assigned

May 10, 2023

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)

Not enrolled

Practice roles

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.

• Pine Cone Therapies LLC

  • Behavior Analyst
  • Southlake, TX
  • NPI 1013143767
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1730879933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SMITH AVE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441639",
            "telephone_number": "847-602-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 GREENBRIAR DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928355",
            "telephone_number": "817-442-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Smith Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600441639",
            "country_code": "US",
            "telephone_number": "847-602-8272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Sherwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600442224",
            "country_code": "US",
            "telephone_number": "847-602-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TARA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svit Aesthetics LLC
• Rebekah L Swaim, LCSW
• Ann Swanson, RD
• Philip H Swanson, M.D.
• Stephanie Swanson, NP
• Kathleen Sweeney, MA LMFT
• Alexandria Denise Sweet, RBT
• Synergy Iom, LLC
• Synmed, LLC
• Tia Rene Szemett, FNP-C

• Behavior Technician in Southlake, TX
• Providers in Southlake, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.