Active NPI
Aleksandra Swan, AGNP
- Adult Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1992157606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2016027878
- Practice address
- 1430 Olive St Ste 100
Saint Louis, MO 63103-2303 - Phone
- (314) 645-6840
- NPI assigned
- Jul 6, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2007033014 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 215849 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024015345 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 2016027878 | MO | Primary |
| Registered Nurse | 163W00000X | 215848 | AK |
Addresses
Primary practice location
1430 Olive St Ste 100
Saint Louis, MO 63103-2303
Mailing address
711 River Hills Dr
Fenton, MO 63026-3161
Phone (314) 620-7850
Other practice location 1
750 W Dimond Blvd Ste 103
Anchorage, AK 99515-1500
Phone (314) 620-7850
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215848 | AK | MD | Registered Nurse |
| 2007033014 | MO | MD | Registered Nurse |
| 215849 | AK | MD | Adult Health Nurse Practitioner |
| 2024015345 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric and Addiction Recovery Center of Alaska, LLC | Current | Accepting new patients | |
| Assisted Recovery Centers of America | Past | Accepting new patients |
Locations
750 W Dimond Blvd
Ste 103
Anchorage, AK 99515
Phone (408) 480-5534
Interoperability endpoints
- aleksandra.swan.p1@direct.essehealth.nextgenshare.com
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Anchorage, AK
- NPI 1710712179
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1992152201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1992157606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 RIVER HILLS DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630263161",
"telephone_number": "314-620-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 OLIVE ST STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-645-6840"
}
],
"practiceLocations": [
{
"address_1": "750 W Dimond Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995151500",
"country_code": "US",
"telephone_number": "314-620-7850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWAN",
"first_name": "ALEKSANDRA",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2007033014",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AK",
"license": "215849",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2024015345",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2016027878",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "215848",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.