Active NPI
Natalie Swanson, ATC
- Athletic Trainer
- Bend, OR
National Provider Identifier
1851781793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-10196770
- Practice address
- 1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887 - Phone
- (541) 388-2333
- NPI assigned
- Jan 30, 2015
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-10196770 | OR | Primary |
Addresses
Primary practice location
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Mailing address
PO Box 6891
Bend, OR 97708-6891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT-10196770 | Other | OR | OREGON HEALTH LICENSING |
| 2000014871 | Other | NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION, INC. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-10196770 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1851781793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6891",
"city": "BEND",
"state": "OR",
"postal_code": "977086891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 NE CUSHING DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977013887",
"telephone_number": "541-388-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "NATALIE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-10196770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH LICENSING",
"identifier": "AT-10196770",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION, INC.",
"identifier": "2000014871",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.