MEDICARE: WESTVIEW SWAMI CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	R0057523	OK
2	174400000X	Specialist	18658	OK

General Provider Information

NPI Number	:	1164582599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW SWAMI CLINIC

Provider Business Mailing Address
First Line	:	3140 W. HAYES AVE.
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601
Country	:	US
Telephone Number	:	580-323-1937
Fax Number	:	580-323-1156

Provider Business Practice Location Address
First Line	:	3140 W. HAYES AVE.
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601
Country	:	US
Telephone Number	:	580-323-1937
Fax Number	:	580-323-1156

Authorized Official
Title or Position	:	PROVIDER
Name	:	KRISTY BAKER
Credential	:	ARNP
Telephone Number	:	580-323-1937

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	09/11/2025

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