Jean Andersson-Swayze, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0600003341 Issued in VT

Practice address

1330 Exchange St
Middlebury, VT 05753-4464

Phone

(802) 388-1500

NPI assigned

Mar 15, 2007

Last updated

Oct 14, 2020By 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

• Jean Kimball Andersson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1144354853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MUSEUM ROAD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459779",
            "telephone_number": "802-651-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 EXCHANGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057534464",
            "telephone_number": "802-388-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSSON-SWAYZE",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0600003341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ANDERSSON",
            "middle_name": "KIMBALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.