Swiftwater Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SWIFTWATER DERMATOLOGY

Practice address

130 E Redoubt Ave
Soldotna, AK 99669-8012

Phone

(907) 398-3376

Fax

(907) 420-0435

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Kristin L Eastman, MDNPI 1255693578

Title

MD/Owner

Phone

(907) 398-3376

Specialties & licenses 1

Addresses

Other names 1

• SWIFTWATER DERMATOLOGY Doing business as

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00292

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin L Eastman, MD

  • Dermatology Physician
  • Soldotna, AK
  • NPI 1255693578
  NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1760034045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996691243",
            "telephone_number": "907-398-3376",
            "fax_number": "907-420-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E REDOUBT AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698012",
            "telephone_number": "907-398-3376",
            "fax_number": "907-420-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFTWATER DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "907-398-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWIFTWATER DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWIFTWATER DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Lee Sutherlin, LPN
• Christina Marie Svec
• Pierce James Svec
• Eileen Karen Sverdrup, M.D.
• Kaitlyn Nicole Svopa, DPT
• Katie Tallent Maxwell, LMT
• Brittany Maurine Taylor
• Rose M Taylor
• Cindy Irene Tennessen, RN
• The Dermatology and Skin Cancer Clinic of Alaska

• Dermatology Physician in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Dermatology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.