Active NPI
Paul R. Swartz
- Metabolic Nutrition Registered Dietitian
- Beckley, WV
National Provider Identifier
1780802173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 800471
- Practice address
- 504 Jamescrest Dr
Beckley, WV 25801-2184 - Phone
- (304) 253-2016
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 800471 | OH | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 800471 | WV | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 800471 | WV | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 800471 | WV | Primary |
Addresses
Primary practice location
504 Jamescrest Dr
Beckley, WV 25801-2184
Mailing address
504 Jamescrest Dr
Beckley, WV 25801-2184
Phone (304) 253-2016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800471 | OH | MD | Registered Dietitian |
| 800471 | WV | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Solutions Inc. | Dietitian, Registered | Past | Accepting new patients |
| Praxis Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Pineville, WV
- NPI 1669594719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780802173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 JAMESCREST DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012184",
"telephone_number": "304-253-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 JAMESCREST DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012184",
"telephone_number": "304-253-2016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "PAUL",
"middle_name": "R.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "800471",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "WV",
"license": "800471",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "WV",
"license": "800471",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "WV",
"license": "800471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.