Active NPI
Kelli Lynn Swanson
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
National Provider Identifier
1962033571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4201 Henry Ave
Philadelphia, PA 19144-5409 - Phone
- (856) 381-6234
- NPI assigned
- Feb 1, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4201 Henry Ave
Philadelphia, PA 19144-5409
Mailing address
659 Cornell Ave
Wenonah, NJ 08090-1119
Phone (856) 381-6234
Other practice location 1
659 Cornell Ave
Wenonah, NJ 08090-1119
Phone (856) 381-6234
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelli.swanson@jefferson.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580515200000",
"number": "1962033571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 CORNELL AVE",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080901119",
"telephone_number": "856-381-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 HENRY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191445409",
"telephone_number": "856-381-6234"
}
],
"practiceLocations": [
{
"address_1": "659 Cornell Ave",
"address_purpose": "LOCATION",
"city": "Wenonah",
"state": "NJ",
"postal_code": "080901119",
"country_code": "US",
"telephone_number": "856-381-6234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "KELLI",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-01",
"last_updated": "2020-02-01",
"certification_date": "2020-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelli.swanson@jefferson.edu",
"affiliation": "N",
"endpointDescription": "Work/School Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4201 Henry Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191445409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.