SHANNON SWIDERSKI MSN CRNP FNP-C NPI 1205421427

NPI Information

  • NPI: 1205421427
  • Provider Name: SHANNON SWIDERSKI, MSN, CRNP, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19283 STATE HIGHWAY 59
    SUMMERDALE, AL
    ZIP 36580
  • Phone: (251) 523-5437

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NPI Details

Shannon Swiderski, MSN, CRNP, FNP-C is a family nurse practitioner in Summerdale, AL. Shannon Swiderski, MSN, CRNP, FNP-C NPI is 1205421427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19283 STATE HIGHWAY 59
SUMMERDALE, AL
ZIP 36580-005
Phone: (251) 523-5437
Fax: (866) 628-7517

The NPI 1205421427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 2/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsAPRN11012182FLORIDANo
2363LF0000XNurse PractitionerFamily1-137654ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11-137654OTHERALABAMAALABAMA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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