Individual provider Active NPI

Mary Margaret Swingle, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1821199290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704128121 Issued in MI
Practice address
1349 S Rochester Rd
Suite # 215
Rochester Hills, MI 48307-3150
Phone
(248) 652-3300
Fax
(248) 652-3175
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Pediatric Nurse Practitioner 363LP0200X 4704128121 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd
Suite # 215
Rochester Hills, MI 48307-3150

Mailing address

1349 S Rochester Rd
Suite # 215
Rochester Hills, MI 48307-3150
Phone (248) 652-3300

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704128121MIMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821199290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE # 215",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-652-3300",
            "fax_number": "248-652-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE # 215",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-652-3300",
            "fax_number": "248-652-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINGLE",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704128121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

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.