Individual provider Active NPI

Phillip James Swanson

  • Acute Care Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1316778087
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
237082 Issued in LA
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
237082OtherLALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001000536 LA Practitioner - Nurse Practitioner 0446781561 Reassigns benefits to 1 organization

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
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

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

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.