Individual provider Active NPI

Christina Ann Swatsenbarg, RD

  • Renal Nutrition Registered Dietitian
  • Idaho Falls, ID
National Provider Identifier
1770920506
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
D-374 Issued in ID
Practice address
2225 Teton PLZ
Suite #a
Idaho Falls, ID 83404-6494
Phone
(208) 522-4831
Fax
(208) 552-5291
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X D-374 ID Primary

Addresses

Primary practice location

2225 Teton PLZ
Suite #a
Idaho Falls, ID 83404-6494

Mailing address

2225 Teton PLZ
Suite #a
Idaho Falls, ID 83404-6494
Phone (208) 522-4831

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1770920506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 TETON PLZ",
            "address_2": "SUITE #A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046494",
            "telephone_number": "208-522-4831",
            "fax_number": "208-552-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 TETON PLZ",
            "address_2": "SUITE #A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046494",
            "telephone_number": "208-522-4831",
            "fax_number": "208-552-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWATSENBARG",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "ID",
            "license": "D-374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.