Individual provider Active NPI

Julie Katherine Swanson, REGISTERED NURSE

  • Registered Nurse
  • Spencerport, NY
National Provider Identifier
1639926074
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
846266 Issued in NY
Practice address
3599 Big Ridge Rd
Spencerport, NY 14559-1709
Phone
(585) 352-2400
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 846266 NY Primary

Addresses

Primary practice location

3599 Big Ridge Rd
Spencerport, NY 14559-1709

Mailing address

3599 Big Ridge Rd
Spencerport, NY 14559-1709
Phone (585) 352-2400

Other names 1

  • Julie Katherine Baker Other name

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

State licenses

LicenseStateTypeSpecialty
846266NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe 2 Orleans Boces CurrentSince May 4, 2025 Accepting new patients
Boces2 PastSince May 7, 2024 Accepting new patients

Locations

3599 Big Ridge Rd
Spencerport, NY 14559
Phone (585) 352-2400

Organizations & group practices 2

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1639926074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 BIG RIDGE RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591709",
            "telephone_number": "585-352-2400",
            "fax_number": "585-617-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 BIG RIDGE RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591709",
            "telephone_number": "585-352-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JULIE",
        "middle_name": "KATHERINE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "846266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BAKER",
            "middle_name": "KATHERINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.