Active NPI
Jennifer Ann Swearingen, MD
- Dermatology Physician
- Novi, MI
National Provider Identifier
1043320187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5315039089
- Practice address
- 44000 W 12 Mile Rd Ste 103
Novi, MI 48377-2646 - Phone
- (248) 946-4787
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5315039089 | MI | Primary |
Addresses
Primary practice location
44000 W 12 Mile Rd Ste 103
Novi, MI 48377-2646
Mailing address
44000 W 12 Mile Rd
Ste 103
Novi, MI 48377-2646
Phone (248) 946-4787
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenswe@noviderm.emadirect.md | Direct |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315039089 | MI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1043320187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44000 W 12 MILE RD",
"address_2": "STE 103",
"city": "NOVI",
"state": "MI",
"postal_code": "483772646",
"telephone_number": "248-946-4787",
"fax_number": "248-308-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44000 W 12 MILE RD STE 103",
"city": "NOVI",
"state": "MI",
"postal_code": "483772646",
"telephone_number": "248-946-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEARINGEN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "5315039089",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jenswe@noviderm.emadirect.md",
"affiliation": "N",
"endpointDescription": "Novi Dermatology Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HISP",
"address_1": "44000 W 12 Mile Rd Ste 103",
"city": "Novi",
"state": "MI",
"country_code": "US",
"postal_code": "483772646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.