ALICIA BROADWAY SWANN AUDIOLOGIST NPI 1003004664

Audiologist in Clinton, MS

About ALICIA SWANN

Alicia Swann is a provider in Clinton, MS. The NPI number assigned to this provider is 1003004664. The practitioner's primary taxonomy code is Audiologist (231H00000X). The provider is registered as an individual and their NPI record was last updated 3 years ago.

NPI1003004664 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ALICIA BROADWAY SWANN AUDIOLOGIST
Provider Location Address541 HIGHWAY 80 W SUITE C CLINTON, MS 39056 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address541 HIGHWAY 80 W AUDITORY PROCESSING CENTER CLINTON, MS 39056 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-09-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-23-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ALICIA BROADWAY SWANN AUDIOLOGIST
541 HIGHWAY 80 W
SUITE C
CLINTON, MS
ZIP 39056
Phone: (601) 488-4189
Fax: (601) 488-4888
Get Directions

Mailing Address

ALICIA BROADWAY SWANN AUDIOLOGIST
541 HIGHWAY 80 W
AUDITORY PROCESSING CENTER
CLINTON, MS
ZIP 39056
Phone: (601) 488-4189
Fax: (601) 488-4888

Primary Taxonomy

Taxonomy Code231H00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License No.A0955
License StateMS
Taxonomy Description(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00534872MEDICAID (05)MS

Map Location


ALICIA BROADWAY SWANN AUDIOLOGIST address is 541 HIGHWAY 80 W SUITE C CLINTON, MS 39056