Individual provider Active NPI

Pamela Sue Swope, CRNP-BC

  • Family Nurse Practitioner
  • Galveston, TX
National Provider Identifier
1841300514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN117495 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-1385
Phone
(409) 772-2166
Fax
(409) 772-2663
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X VP006996B PA
Family Nurse Practitioner 363LF0000X 726721 TX
Family Nurse Practitioner 363LF0000X APN117495 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-1385

Mailing address

301 University Blvd
Galveston, TX 77555-1385
Phone (409) 772-2166

Other practice location 1

15200 Southwest Fwy
Suite 175
Sugar Land, TX 77478-3845
Phone (713) 461-2915

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
I20170113000249 TX Practitioner - Nurse Practitioner 6507009651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VP006996BPAMDFamily Nurse Practitioner
726721TXMDFamily Nurse Practitioner
APN117495TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Sep 5, 2017 Accepting new patients
Advanced Neurocare, Inc. Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841300514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551385",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551385",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15200 Southwest Fwy",
            "address_2": "Suite 175",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783845",
            "country_code": "US",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP006996B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "726721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "APN117495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.