Active NPI
Charlotta Swain, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1043394190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- TP003928G
- Practice address
- 5401 Old York Rd
Suite 400
Philadelphia, PA 19141-3030 - Phone
- (215) 456-3440
- Fax
- (215) 254-2599
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | TP003928G | PA | Primary |
Addresses
Primary practice location
5401 Old York Rd
Suite 400
Philadelphia, PA 19141-3030
Mailing address
101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421
Phone (215) 456-7000
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
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP003928G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients |
Locations
1101 Market St
Fl 10
Philadelphia, PA 19107
4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1518074566
-
- Clinical Medical Laboratory
- Phila, PA
- NPI 1689688798
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1942317094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1043394190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202421",
"telephone_number": "215-456-7000",
"fax_number": "215-254-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 OLD YORK RD",
"address_2": "SUITE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413030",
"telephone_number": "215-456-3440",
"fax_number": "215-254-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "CHARLOTTA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "TP003928G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.