Thomas Swisshelm, MED, EDS, BCN

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Practice address

2180 A1A S Ste 100
St Augustine, FL 32080-6523

Phone

(352) 514-7143

NPI assigned

Mar 13, 2009

Last updated

Jan 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Neurofitness LLC

  • EEG Technician
  • St Augustine, FL
  • NPI 1023560844
  NPD (past) Authorized official

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1841431236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 A1A S STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "352-514-7143",
            "fax_number": "904-758-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 A1A S STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806523",
            "telephone_number": "352-514-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Paseo Reyes Dr",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320958464",
            "country_code": "US",
            "telephone_number": "352-514-7143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISSHELM",
        "first_name": "THOMAS",
        "credential": "MED, EDS, BCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Lynn Swanson, APRN
• Amanda Woodman Swartzlender
• Michael Sweda
• Ann Sweeney, RA
• Amy Renee Swiatkowski, CRNP
• Synergy Services, LLC
• Amanda Szabados, RN
• T S Hossain MD PA (Florida Eye and Laser Center)
• Nzinga Tafari, MD
• Darren C Tagliarini, BCBA

• Other Specialist/Technologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.