Active NPI
Nancy Swenson, NP
- Obstetrics & Gynecology Nurse Practitioner
- Watertown, NY
National Provider Identifier
1740232800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- F360242
- Practice address
- 1575 Washington St
Watertown, NY 13601-9367 - Phone
- (315) 785-4155
- Fax
- (315) 779-5066
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F360242 | NY | Primary |
Addresses
Primary practice location
1575 Washington St
Watertown, NY 13601-9367
Mailing address
1575 Washington St
Watertown, NY 13601-9367
Phone (315) 785-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354316 | Medicaid | NY |
Other names 1
- Miss Nancy Ewing
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360242 | NY | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1740232800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136019367",
"telephone_number": "315-785-4155",
"fax_number": "315-779-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136019367",
"telephone_number": "315-785-4155",
"fax_number": "315-779-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "NANCY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F360242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354316",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "EWING",
"prefix": "MISS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.