Individual provider Active NPI

Jennifer Rose Swiney, MD

  • Specialist
  • Sisseton, SD
National Provider Identifier
1477699122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G85750 Issued in CA
Practice address
5 E Chestnut St
Sisseton, SD 57262-1448
Phone
(605) 698-7606
Fax
(605) 698-4270
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G85750 CA Primary

Addresses

Primary practice location

5 E Chestnut St
Sisseton, SD 57262-1448

Mailing address

1518 7TH St
#9
Santa Monica, CA 90401-2615
Phone (310) 428-5938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85750CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic Multi-Specialty Past Accepting new patients
Bullhead City Clinic Corp Multi-Specialty Past Accepting new patients
Ozarks Medical Center Multi-Specialty Past Accepting new patients
Bullhead City Clinic Corp Multi-Specialty PastSince Apr 1, 2009 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477699122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 7TH ST",
            "address_2": "#9",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012615",
            "telephone_number": "310-428-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E CHESTNUT ST",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621448",
            "telephone_number": "605-698-7606",
            "fax_number": "605-698-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINEY",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G85750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

Verify at the official NPI Registry.