Individual provider Active NPI

Myra Leann Swintz, RN, NCTMB

  • Nurse Massage Therapist (NMT)
  • Greenwood, IN
National Provider Identifier
1891978433
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
28092030A Issued in IN
Practice address
904 Ramblin Rd
Greenwood, IN 46142-8356
Phone
(317) 319-0865
Fax
(317) 859-0866
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X 28092030A IN Primary

Addresses

Primary practice location

904 Ramblin Rd
Greenwood, IN 46142-8356

Mailing address

520 N Madison Ave
Suite H
Greenwood, IN 46142-4083
Phone (317) 319-0865

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
28092030AINMDNurse Massage Therapist (NMT)

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1891978433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MADISON AVE",
            "address_2": "SUITE H",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424083",
            "telephone_number": "317-319-0865",
            "fax_number": "317-859-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 RAMBLIN RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428356",
            "telephone_number": "317-319-0865",
            "fax_number": "317-859-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTZ",
        "first_name": "MYRA",
        "middle_name": "LEANN",
        "name_prefix": "Ms.",
        "credential": "RN, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "IN",
            "license": "28092030A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.