Brenda L Swanson, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C065518 Issued in IA

Practice address

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804-1847

Phone

(563) 383-2581

Fax

(563) 328-5770

NPI assigned

Jun 24, 2005

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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Genesis Health System

  • Family Medicine Physician
  • Bettendorf, IA
  • NPI 1225018211

  Pediatrics

  NPD (past)
• Genesis Health System

  • Family Medicine Physician
  • Moline, IL
  • NPI 1164538435
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1255337176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST KIMBERLY ROAD",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52806",
            "telephone_number": "563-355-9191",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "STE 4100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041847",
            "telephone_number": "563-383-2581",
            "fax_number": "563-328-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C065518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "19775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424903",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK HEALTH PLANS",
            "identifier": "29743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "063069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLANS",
            "identifier": "IA0157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Laura Sutherland
• Darby Rene Sutherland, D.C.
• Alan Sutton, M.D.
• Lydia Jeanne Swailes, CNM
• Larry L. Swank, D.C.
• Kevin L Swanson, PT
• Michael Alan Swanson, MD
• Robin L Swanson, D.C.
• Fritz William Swearingen, DO
• Sweet Pea'S Therapy, LLC

• Pediatric Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.