Individual provider Active NPI

Jeri Swaim Brown, FNP

  • Family Nurse Practitioner
  • Whitehouse, TX
National Provider Identifier
1003834292
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
553840 Issued in TX
Practice address
601 Hwy 110 N
Bay 0
Whitehouse, TX 75791-3037
Phone
(903) 839-2585
NPI assigned
Jul 17, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 553840 TX Primary
Emergency Medicine Physician 207P00000X 553840 TX

Addresses

Primary practice location

601 Hwy 110 N
Bay 0
Whitehouse, TX 75791-3037

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other identifiers 9

IdentifierTypeStateIssuer
75-0818167-022OtherTXTRICARE
75-2616977-002OtherTXTRICARE
75-2616977-028OtherTXTRICARE
752616977023OtherTXTRICARE
810N87OtherTXBCBS
142068907MedicaidTX
8617NPOtherTXBCBS
75-2616977-129OtherTXTRICARE
P01470490OtherTXRAIL ROAD MEDICARE

Other names 1

  • Jeri Lynn Swaim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000605 TX Practitioner - Nurse Practitioner 9133125461 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Lake Medical, PLLCGroup PAC ID 2961885850, 4 clinicians

Practice addresses (Care Compare)

11980 State Hwy 64 E
Suite G
Tyler, TX 75707-2541
Phone (903) 650-8619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
553840TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 8, 2008 Accepting new patients
East Lake Medical, PLLC CurrentSince May 18, 2025 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Apr 18, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 8, 2008 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Mar 1, 2020 Accepting new patients
Athens Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Azalea Orthopedic & Sports Medicine Clinic PA Past Accepting new patients
Pioneer Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

11980 State Highway 64 E
Ste G
Tyler, TX 75707
Phone (903) 579-3931

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

601 Highway 110 N
#0
Whitehouse, TX 75791
Phone (903) 839-2585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15533/brand/8/csg/1/fhir/r4
  • Direct secure messaging: jbrown5146@christushealth.direct-ci.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1003834292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HWY 110 N",
            "address_2": "BAY 0",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757913037",
            "telephone_number": "903-839-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JERI",
        "middle_name": "SWAIM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "553840",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "553840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-0818167-022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-028",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "810N87",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142068907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8617NP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-129",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01470490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "SWAIM",
            "middle_name": "LYNN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitehouse, TX

Sources for this page

Verify at the official NPI Registry.