Active NPI
Keziah Swaby
- Registered Nurse
- Port St Lucie, FL
National Provider Identifier
1750868659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9276977
- Practice address
- 322 SW South Quick Cir
Port St Lucie, FL 34953-7640 - Phone
- (772) 785-5785
- Fax
- (772) 785-5790
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9276977 | FL | Primary |
Addresses
Primary practice location
322 SW South Quick Cir
Port St Lucie, FL 34953-7640
Mailing address
322 SW South Quick Cir
Port St Lucie, FL 34953-7640
Phone (772) 785-5785
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 |
|---|---|---|---|
| RN9276977 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For His Glory Alf LLC. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Assisted Living Facility
- Port St Lucie, FL
- NPI 1386121333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1750868659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 SW SOUTH QUICK CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349537640",
"telephone_number": "772-785-5785",
"fax_number": "772-785-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 SW SOUTH QUICK CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349537640",
"telephone_number": "772-785-5785",
"fax_number": "772-785-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWABY",
"first_name": "KEZIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9276977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.