Individual provider Active NPI

Matthew Swayne, R.N.

  • Registered Nurse
  • Upper Marlboro, MD
National Provider Identifier
1811318868
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R208651 Issued in MD
Practice address
9475 Lottsford Rd
Suite 250
Upper Marlboro, MD 20774-5357
Phone
(301) 636-6504
NPI assigned
Dec 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R208651 MD Primary

Addresses

Primary practice location

9475 Lottsford Rd
Suite 250
Upper Marlboro, MD 20774-5357

Mailing address

8205 Featherhill Rd
Apt. 202
Perry Hall, MD 21128-9220

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

State licenses

LicenseStateTypeSpecialty
R208651MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1811318868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 FEATHERHILL RD",
            "address_2": "APT. 202",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYNE",
        "first_name": "MATTHEW",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R208651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.