Individual provider Active NPI

Connie Shepherd Swanson, PMHNP/MSN

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1548492572
Registry record updated Aug 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224525 Issued in TX
Practice address
6758 Ridgeway Dr
Houston, TX 77087-5938
Phone
(713) 649-4860
NPI assigned
Aug 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224525 TX Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 224525 TX

Addresses

Primary practice location

6758 Ridgeway Dr
Houston, TX 77087-5938

Mailing address

6758 Ridgeway Dr
Houston, TX 77087-5938
Phone (713) 649-4860

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
224525TXMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249689600000",
    "number": "1548492572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 RIDGEWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770875938",
            "telephone_number": "713-649-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 RIDGEWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770875938",
            "telephone_number": "713-649-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CONNIE",
        "middle_name": "SHEPHERD",
        "name_prefix": "Ms.",
        "credential": "PMHNP/MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "224525",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "224525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2009; 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.