Individual provider Active NPI

Whitley Jo Swift, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1245854355
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014661 Issued in KY
Practice address
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone
(270) 575-2180
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014661 KY
Family Nurse Practitioner 363LF0000X 3014661 KY Primary

Addresses

Primary practice location

2501 Kentucky Ave
Paducah, KY 42003-3813

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other practice location 1

615 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005001985 KY Practitioner - Nurse Practitioner 1557780954 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
MD Partners, PLLCGroup PAC ID 6204018617, 4 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

615 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-4800

Hospital & facility affiliations

  • Marshall County Hospital Hospital, Benton, KY, CCN 181327
  • Marshall County Hospital Nursing home, CCN 18Z327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Partners, PLLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Oct 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Wilson Medical Staffing PLLC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Marshall County Hospital District Past Accepting new patients

Locations

615 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-4800

617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2501 Kentucky Ave
Ste 5
Paducah, KY 42003

2501 Kentucky Ave
Fl 5
Paducah, KY 42003
Phone (270) 415-7794

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshal-fc975078

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1245854355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-575-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Old Symsonia Rd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420255042",
            "country_code": "US",
            "telephone_number": "270-527-4800",
            "fax_number": "270-527-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "WHITLEY",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.