Jacqueline Lee Swallows, FNP-BC, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16020 Issued in TN

Practice address

319 Broad St
Baxter, TN 38544-5117

Phone

(931) 858-2116

Fax

(931) 858-2117

NPI assigned

Aug 9, 2011

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jackie Lee Swallows Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)
• Putnam County Rural Health Clinic, Inc

  dba Monterey Rural Health Clinic

  • Rural Health Clinic/Center
  • Monterey, TN
  • NPI 1912996067
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1023397957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 WINDLE COMMUNITY RD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385067910",
            "telephone_number": "931-319-9335",
            "fax_number": "931-858-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROAD ST",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445117",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALLOWS",
        "first_name": "JACQUELINE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cookeville",
            "affiliation": "N",
            "address_1": "319 Broad St",
            "city": "Baxter",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385445117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "SWALLOWS",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "FNP-BC, NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Neller, AGPCNP-BC
• Heather Parker, BEHAVIOR TECHNICIAN
• Megan Danielle Phy, COTA/L
• Putnam County Rural Health Clinic, Inc (Baxter Medical Clinic)
• S & K Apothecary Inc. (Nunally Drug Store)
• Hugh Arthur Thompson, DDS
• Upper Cumberland Medical Clinic, Inc.
• Upper Cumberland Rural Health Clinic PLLC (Baxter Medical Clinic RHC)
• Wildly Curative (Wildly Curative Counseling)

• Family Nurse Practitioner in Baxter, TN
• Providers in Baxter, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.