Active NPI
Jessica Lynn Swartzendruber, R.D.
- Registered Dietitian
- West Branch, MI
National Provider Identifier
1003948878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 981122
- Practice address
- 611 Court St
West Branch, MI 48661-9390 - Phone
- (989) 345-7000
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 981122 | MI | Primary |
Addresses
Primary practice location
611 Court St
West Branch, MI 48661-9390
Mailing address
5012 Meyers St Apt 6
Midland, MI 48640-7202
Phone (989) 975-0832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis and Nephrology Consultants PC | Past | Accepting new patients |
Networks
- FL HMO D-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- TX HMO D-SNP
- FL HMO C-SNP
- FL PPO
- IL HMO C-SNP
- TX HMO
- FL HMO
- IL PPO Downstate
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- West Branch, MI
- NPI 1104891159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003948878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 MEYERS ST APT 6",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486407202",
"telephone_number": "989-975-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 COURT ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619390",
"telephone_number": "989-345-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZENDRUBER",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "981122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.