AUDREY PHILLIPS SWANSON (NPI# 1902122591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902122591 |
Entity Type | Individual |
Full Name | AUDREY PHILLIPS SWANSON |
Credential | CRNP |
Practice Address |
3160 W Main St Ste 6 Dothan AL 36305-1180 |
Practice Telephone | 3346789123 |
Mailing Telephone | 3346789123 |
Enumeration Date | 2010-04-08 |
Last Update Date | 2013-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A0310068 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | CERTIFIED NURSE PRACTITIONER NUMBER | A0310068 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932661477 | Audrey Swanson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2019-04-03 |
Street Address |
3160 W MAIN ST STE 6 |
City | DOTHAN |
State | AL |
Zip Code | 36305-1180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
Find all providers in zip 36305 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
1811390396 | Emily Brooke Pettis | Nurse Practitioner | 1118 Ross Clark Cir Ste 100, Dothan, AL 36301-3023 | 2014-09-29 |
1609049550 | Dana Michelle Scott | Nurse Practitioner | 480 Honeysuckle Road, Dothan, AL 36305-3001 | 2008-04-10 |
1154841831 | James Eric Goforth | Nurse Practitioner | 201 Doctors Dr, Dothan, AL 36301-2949 | 2017-06-22 |
1184090359 | Amy Roselius | Nurse Practitioner | 3124 Ross Clark Cir, Dothan, AL 36303-3038 | 2015-08-11 |
1083033286 | John Evans Jr. | Nurse Practitioner | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2014-04-15 |
1184995292 | Jason Lee Cox | Nurse Practitioner | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2012-01-20 |
1508957499 | Melissa Ann Taylor | Nurse Practitioner | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250249 | Marnita Monique Stallworth | Nurse Practitioner | 3937 Harmony Ridge Cir W, Semmes, AL 36575-5282 | 2020-09-16 |
1619591468 | Cartney Michelle Kesten | Nurse Practitioner | 14006 Percivale Dr Se, Huntsville, AL 35803-1868 | 2020-06-07 |
1235764069 | Bianca A Norris | Nurse Practitioner | 7000 Adventist Blvd Nursing Department, Huntsville, AL 35896-0001 | 2020-03-12 |
1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
1578193892 | Heather Dawn Battles | Nurse Practitioner | 9785 Us Highway 278 W, Altoona, AL 35952-7771 | 2020-01-26 |
1548806540 | Hailey Hammond | Nurse Practitioner | 3101 26th Ave, Northport, AL 35476-5236 | 2019-11-25 |
1619511367 | Sarah Ashley Freeman | Nurse Practitioner | 363 Riverside Dr, Gadsden, AL 35903-2945 | 2019-11-05 |
1386206688 | Tasha Latiya Jones | Nurse Practitioner | 4950 Government Blvd Apt 75, Mobile, AL 36693-5011 | 2019-07-08 |
1891250262 | Corrie Graveman | Nurse Practitioner | 7070 Taylors Ferry Rd, Bessemer, AL 35023-5565 | 2019-02-09 |
1871057257 | Brittany Hendrix | Nurse Practitioner | 104 Camellia Ave Ste A, Greenville, AL 36037-1514 | 2019-01-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.