Active NPI
Phillip James Swanson
- Acute Care Nurse Practitioner
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 237082
- Practice address
- 15813 Paul Vega MD Dr Ste 401a
Hammond, LA 70403-1426 - Phone
- (985) 230-1580
- Fax
- (985) 230-1585
- NPI assigned
- Aug 13, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 237082 | LA | Primary |
Addresses
Primary practice location
15813 Paul Vega MD Dr Ste 401a
Hammond, LA 70403-1426
Mailing address
39715 S Hoover Rd Apt a
Ponchatoula, LA 70454-4651
Phone (662) 848-9597
Other practice location 1
15837 Paul Vega Md Dr
Hammond, LA 70403-1495
Phone (985) 345-2700
Other practice location 2
15813 Paul Vega Md Dr Ste 403
Hammond, LA 70403-1426
Phone (985) 230-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237082 | Other | LA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15813 Paul Vega MD Dr
Suite 301
Hammond, LA 70403-1431
Phone (985) 230-1580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients |
Locations
15813 Paul Vega Md Dr
Hammond, LA 70403
15813 Paul Vega Md Dr
Ste 301
Hammond, LA 70403
Phone (985) 230-2630
15813 Paul Vega Md Dr
Ste 401A
Hammond, LA 70403
Phone (985) 230-1580
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350
Organizations & group practices 1
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.
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1316778087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39715 S HOOVER RD APT A",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704544651",
"telephone_number": "662-848-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15813 PAUL VEGA MD DR STE 401A",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031426",
"telephone_number": "985-230-1580",
"fax_number": "985-230-1585"
}
],
"practiceLocations": [
{
"address_1": "15837 Paul Vega Md Dr",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704031495",
"country_code": "US",
"telephone_number": "985-345-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15813 Paul Vega Md Dr Ste 403",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704031426",
"country_code": "US",
"telephone_number": "985-230-7350",
"fax_number": "985-230-7351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "PHILLIP",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-13",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "237082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "237082",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.