MEDICARE: SHAMIKA SWANIGAN

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	172V00000X	Community Health Worker	050130520706E	AR

General Provider Information

NPI Number	:	1891627683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMIKA SWANIGAN

Provider Business Mailing Address
First Line	:	1221 RESERVOIR RD APT 322
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-5733
Country	:	US
Telephone Number	:	501-918-8980
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 RESERVOIR RD APT 322
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-5733
Country	:	US
Telephone Number	:	501-918-8980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ SHAMIKA SWANIGAN ” Practice Location

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