Individual provider Active NPI

Swarna Lam

  • Family Nurse Practitioner
  • Angleton, TX
National Provider Identifier
1821541665
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131479 Issued in TX
Practice address
1108 E Mulberry St Ste a
Angleton, TX 77515-3955
Phone
(979) 849-9740
Fax
(979) 849-1094
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131479 TX Primary

Addresses

Primary practice location

1108 E Mulberry St Ste a
Angleton, TX 77515-3955

Mailing address

1108 E Mulberry St Ste a
Angleton, TX 77515-3955
Phone (979) 849-9740

Other names 1

  • Swarna Samuel Bathini Former name

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
I20160924000339 TX Practitioner - Nurse Practitioner 5092002634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Health and Wellness 12 clinicians

Practice addresses (Care Compare)

4700 Broadway St
Suite 100
Galveston, TX 77551-4241
Phone (409) 938-2234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131479TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Apr 18, 2024 Accepting new patients
Coastal Health & Wellness Current Accepting new patients
Utmb Faculty Group Practice CurrentSince Aug 1, 2016 Accepting new patients
Coastal Health & Wellness Past Accepting new patients

Locations

1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

4700 Broadway St
Ste F100
Galveston, TX 77551
Phone (409) 763-7273

9850 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-2230

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: slam31565@direct.utmb.edu

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1821541665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E MULBERRY ST STE A",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153955",
            "telephone_number": "979-849-9740",
            "fax_number": "979-849-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E MULBERRY ST STE A",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153955",
            "telephone_number": "979-849-9740",
            "fax_number": "979-849-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "SWARNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWARNA",
            "last_name": "BATHINI",
            "middle_name": "SAMUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.