Individual provider Active NPI

Eileen Swailes, NP

  • Nurse Practitioner
  • West Islip, NY
National Provider Identifier
1740506807
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F338580 Issued in NY
Practice address
22 Udalia Rd
West Islip, NY 11795-3909
Phone
(631) 587-5355
Fax
(631) 587-5355
NPI assigned
Apr 14, 2010
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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 F338580 NY Primary
Registered Nurse 163W00000X 475139-1 NY

Addresses

Primary practice location

22 Udalia Rd
West Islip, NY 11795-3909

Mailing address

22 Udalia Rd
West Islip, NY 11795-3909
Phone (631) 587-5355

Other names 1

  • Eileen Swailes Professional 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
475139-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1740506807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 UDALIA RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953909",
            "telephone_number": "631-587-5355",
            "fax_number": "631-587-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UDALIA RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953909",
            "telephone_number": "631-587-5355",
            "fax_number": "631-587-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAILES",
        "first_name": "EILEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F338580",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "475139-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "SWAILES",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.