Active NPI
Jennifer Swindle Baine, PA-C
- Physician Assistant
- Glen Rose, TX
National Provider Identifier
1245344878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 409 Glenwood
Ste 500
Glen Rose, TX 76043-1309 - Phone
- (254) 897-3369
- Fax
- (254) 898-1157
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
409 Glenwood
Ste 500
Glen Rose, TX 76043-1309
Mailing address
PO Box 1309
Glen Rose, TX 76043-1309
Phone (254) 897-3369
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Virtual Care | Physician Assistant | Past | Accepting new patients |
| Michael L. Davis, M.D. P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Glen Rose, TX
- NPI 1194985325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1245344878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760431309",
"telephone_number": "254-897-3369",
"fax_number": "254-898-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 GLENWOOD",
"address_2": "STE 500",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760431309",
"telephone_number": "254-897-3369",
"fax_number": "254-898-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINE",
"first_name": "JENNIFER",
"middle_name": "SWINDLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Rose, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.