Active NPI
Nancy A Swailes, APNP
- Nurse Practitioner
- Platteville, WI
National Provider Identifier
1962467720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 712
- Practice address
- 1450 Eastside Rd
Ste 110
Platteville, WI 53818-9800 - Phone
- (608) 348-2434
- Fax
- (608) 342-4801
- NPI assigned
- Apr 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 712 | WI | Primary |
Addresses
Primary practice location
1450 Eastside Rd
Ste 110
Platteville, WI 53818-9800
Mailing address
1450 Eastside Rd
Ste 110
Platteville, WI 53818-9800
Phone (608) 348-4330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43824200 | Medicaid | WI | |
| 5398 | Other | WI | DEAN HEALTH INSURANCE |
| 2015122 | Other | WI | PHYSICIANS PLUS |
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 |
|---|---|---|---|
| 86776 | WI | MD | Otolaryngology Physician |
| 712 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1962467720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 EASTSIDE RD",
"address_2": "STE 110",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-4330",
"fax_number": "608-342-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 EASTSIDE RD",
"address_2": "STE 110",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-2434",
"fax_number": "608-342-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAILES",
"first_name": "NANCY",
"middle_name": "A",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43824200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "5398",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS PLUS",
"identifier": "2015122",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.