Individual provider Active NPI

Jennifer Ann Swearengin, MA, CCC-SLP

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1194724450
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100585 Issued in TX
Practice address
13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018
Phone
(832) 593-6767
Fax
(832) 593-6868
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100585 TX Primary

Addresses

Primary practice location

13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018

Mailing address

13611 Skinner Rd
Suite 250
Cypress, TX 77429-1018
Phone (832) 593-6767

Other identifiers 1

IdentifierTypeStateIssuer
171251501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000485 TX Practitioner - Qualified Speech Language Pathologist 3274797709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1194724450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291018",
            "telephone_number": "832-593-6767",
            "fax_number": "832-593-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARENGIN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171251501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.