Individual provider Active NPI

Linda Jean Swallow, CRNP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1023086741
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R098213 Issued in MD
Practice address
305 Hospital Dr
1St Floor
Glen Burnie, MD 21061-5805
Phone
(410) 552-8154
Fax
(410) 553-8134
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R098213 MD Primary

Addresses

Primary practice location

305 Hospital Dr
1St Floor
Glen Burnie, MD 21061-5805

Mailing address

305 Hospital Dr
1St Floor
Glen Burnie, MD 21061-5805
Phone (410) 552-8154

Other identifiers 1

IdentifierTypeStateIssuer
621731100MedicaidMD

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R098213MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Radiation Oncology Associates PA PastSince Nov 20, 2000 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1023086741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR",
            "address_2": "1ST FLOOR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615805",
            "telephone_number": "410-552-8154",
            "fax_number": "410-553-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR",
            "address_2": "1ST FLOOR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615805",
            "telephone_number": "410-552-8154",
            "fax_number": "410-553-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALLOW",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R098213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621731100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.