Active NPI
Vickie Jean Swanson, RN
- Registered Nurse
- Henderson, NV
National Provider Identifier
1790108710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 21178
- Practice address
- 520 E Lake Mead Pkwy
Henderson, NV 89015-5578 - Phone
- (702) 759-0876
- Fax
- (702) 558-3127
- NPI assigned
- Jan 27, 2014
- 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 | 21178 | NV | Primary |
Addresses
Primary practice location
520 E Lake Mead Pkwy
Henderson, NV 89015-5578
Mailing address
520 E Lake Mead Pkwy
Henderson, NV 89015-5578
Phone (702) 759-0876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN21178 | Other | NV | RN LICENSE |
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
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1790108710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155578",
"telephone_number": "702-759-0876",
"fax_number": "702-558-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155578",
"telephone_number": "702-759-0876",
"fax_number": "702-558-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "VICKIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "21178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN21178",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.