Individual provider Active NPI

Caroline L. Swaim, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1710033915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
28103920A Issued in IN
Practice address
125 N Weinbach Ave Ste 120
125 N. Weinbach Avenue, Suite 120
Evansville, IN 47711-6091
Phone
(812) 476-5728
Fax
(812) 473-4990
NPI assigned
Jan 28, 2007
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
Women's Health Nurse Practitioner 363LW0102X 28103920A IN Primary

Addresses

Primary practice location

125 N Weinbach Ave Ste 120
125 N. Weinbach Avenue, Suite 120
Evansville, IN 47711-6091

Mailing address

6430 Madison Ave
Evansville, IN 47715-5147
Phone (812) 476-5728

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
28103920AINMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710033915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 MADISON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477155147",
            "telephone_number": "812-476-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N WEINBACH AVE STE 120",
            "address_2": "125 N. WEINBACH AVENUE, SUITE 120",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477116091",
            "telephone_number": "812-476-5728",
            "fax_number": "812-473-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIM",
        "first_name": "CAROLINE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28103920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.