MICHELLE SWAIM (NPI# 1679961353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679961353 |
| Entity Type | Individual |
| Full Name | MICHELLE SWAIM |
| Practice Address |
186 Kimel Park Dr Winston Salem NC 27103-6946 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3362772000 |
| Practice Fax Number | 3362772050 |
| Mailing Telephone | 3367184820 |
| Mailing Fax Number | 3362772050 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
231520 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629303029 | Michelle Swaim | Specialist | 3112 W Rome Ave, Anaheim, CA 92804-3811 | 2009-10-02 |
| Street Address |
186 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587923 | Kenneth E Bodek | Internal Medicine | 186 Kimel Park Dr, Suite 400, Winston Salem, NC 27103-6946 | 2005-09-06 |
| 1851940753 | Casey Leigh Hardy | Nurse Practitioner | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-09-04 |
| 1881248029 | Ennie Austin | Nurse Practitioner | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-07-26 |
| 1972023737 | Francis Wingate Hayes Iv | Nurse Practitioner | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2017-06-22 |
| 1255786273 | Nathan Mcgeathy | Nurse Practitioner | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2016-04-27 |
| 1376925214 | Joseph Mintz | Physician Assistant | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2015-06-27 |
| 1508107707 | Jennifer Doby Davis | Nurse Practitioner | 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2013-03-13 |
| 1255682415 | Dawn Marie Delo O'reilly | Physician Assistant | 186 Kimel Park Dr, Winston Salem, NC 27103 | 2012-09-27 |
| 1639431307 | Bradley Walton Clark | Internal Medicine | 186 Kimel Park Dr, Winston Salem, NC 27103 | 2012-06-08 |
| 1285994426 | Pallavi Sharma Gomadam | Internal Medicine | 186 Kimel Park Dr, Winston Salem, NC 27103 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073083085 | Ruxandra Buzoeanu | Nurse Practitioner | 3001 Maplewood Ave Ste 301, Winston Salem, NC 27103-4031 | 2018-12-03 |
| 1396298014 | Jimmy Sanders | Nurse Practitioner | Wake Forest Baptist Health Sciences, Winston Salem, NC 27157-0001 | 2016-07-28 |
| 1942779475 | Liliana Pitu | Nurse Practitioner | 3080 Trenwest Dr, Winston Salem, NC 27103-3208 | 2018-11-14 |
| 1023556461 | Darrell Lee Dedeaux | Nurse Practitioner | 380 Knollwood St # 505, Winston Salem, NC 27103-1884 | 2017-02-06 |
| 1952634396 | Caroline Golden Grandis | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.