SHIRLEY J SWENSON (NPI# 1053354035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053354035 |
| Entity Type | Individual |
| Full Name | SHIRLEY J SWENSON |
| Credential | FNP |
| Practice Address |
15 S Main St Suite 160 Jamestown NY 14701-6636 |
| Mailing Address |
15 S Main St Suite 300 Jamestown NY 14701-6636 |
| Practice Telephone | 7164847107 |
| Practice Fax Number | 7166642500 |
| Mailing Telephone | 7164847107 |
| Mailing Fax Number | 7166642500 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F33435 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2556958 | 05 | |
| NY | MEDICARE PTAN | J400168891 | 01 |
| Street Address |
15 S MAIN ST SUITE 160 |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892708 | Christina M Brown | Internal Medicine | 15 S Main St, Suite 153, Jamestown, NY 14701-6626 | 2005-06-24 |
| 1699246850 | Jessica Lynne Cappa | Nurse Practitioner | 15 S Main St, Jamestown, NY 14701-6626 | 2018-12-16 |
| 1184159139 | Oludotun Olusegun Adegoke | Family Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2017-04-27 |
| 1114389293 | Shaden Alfallay | Internal Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2016-03-28 |
| 1720454556 | Christopher Saxton | Physical Therapist | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2015-08-17 |
| 1982085700 | Lori Ann Banse-fay | Registered Nurse | 15 S Main St, Suite 151, Jamestown, NY 14701-6626 | 2015-06-17 |
| 1730599176 | Great Lakes Physician Practice PC | Internal Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2014-05-07 |
| 1013355858 | Drew Gibson | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2013-06-13 |
| 1124463500 | Jenna M Ring | Nurse Practitioner | 15 S Main St, Suite 150, Jamestown, NY 14701-6626 | 2013-04-30 |
| 1619220423 | Julie Park | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| Find all providers in JAMESTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.