Erica Anne Swanger, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS2488 Issued in ID

Practice address

1420 S Blaine St Ste 21
Moscow, ID 83843-3973

Phone

(360) 961-3751

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1962618728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S BLAINE ST STE 21",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433973",
            "telephone_number": "360-961-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S BLAINE ST STE 21",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433973",
            "telephone_number": "360-961-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANGER",
        "first_name": "ERICA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "RF60485502",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017620",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyrsten E Stoops, MD
• Story Family Medicine
• Alex Thomas Strauss
• Jessica Katharine Strong, MD
• Keri Noel Sullivan-Walker, PHARMD
• Nevada Rae Sweeney, O.D.
• Syzygy, LLC
• Ashley Ann Tadehara
• Quinton Tapp
• Marion Elizabeth Teal-Atwood, LMP

• Massage Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.