Individual provider Active NPI

Jeanine B. Swindoll, FNP- BC

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1710370705
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127349 Issued in TX
Practice address
3601 4TH St # Ms 8103
Lubbock, TX 79430
Phone
(806) 743-2800
Fax
(806) 743-2784
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 501605 TX
Family Nurse Practitioner 363LF0000X AP127349 TX Primary

Addresses

Primary practice location

3601 4TH St # Ms 8103
Lubbock, TX 79430

Mailing address

3601 4TH St # Ms 8103
Lubbock, TX 79430-0002
Phone (806) 743-2800

Other practice location 1

4102 22nd Pl
Lubbock, TX 79410-1122
Phone (806) 725-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003530 TX Practitioner - Nurse Practitioner 5092020297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Connell and Associates LLCGroup PAC ID 9931335395, 6 clinicians

Practice addresses (Care Compare)

3106 S W S Young Dr
Suite B202
Killeen, TX 76542-2000
Phone (254) 628-0056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
501605TXMDFamily Nurse Practitioner
AP127349TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oria, LLC CurrentSince Jun 11, 2021 Accepting new patients
Texas Texas University Health Sciences Center Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

3106 S W S Young Dr
Ste B202
Killeen, TX 76542
Phone (254) 628-0056

Interoperability endpoints

  • Direct secure messaging: jeanine.swindoll@direct.myteamcare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1710370705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2800",
            "fax_number": "806-743-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST # MS 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-2800",
            "fax_number": "806-743-2784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101122",
            "country_code": "US",
            "telephone_number": "806-725-0237",
            "fax_number": "806-725-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINDOLL",
        "first_name": "JEANINE",
        "middle_name": "B.",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "501605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.