Individual provider Active NPI

Jordanne Donielle Swanson, NP

  • Pediatrics Physician
  • Geneseo, NY
National Provider Identifier
1386138014
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
382860 Issued in NY
Practice address
50 E South St
Geneseo, NY 14454-1300
Phone
(585) 243-9340
NPI assigned
Jun 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 382860 NY Primary

Addresses

Primary practice location

50 E South St
Geneseo, NY 14454-1300

Mailing address

9 Northview Dr
Geneseo, NY 14454-1109
Phone (585) 261-0554

Other practice location 1

22 Red Jacket St
Dansville, NY 14437-9502
Phone (585) 335-5200

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
382860NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jordanne.swanson@sbpeds.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1386138014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORTHVIEW DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541109",
            "telephone_number": "585-261-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SOUTH ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541300",
            "telephone_number": "585-243-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Red Jacket St",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144379502",
            "country_code": "US",
            "telephone_number": "585-335-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JORDANNE",
        "middle_name": "DONIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "382860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.