Basic Information
Provider Information
NPI: 1679148795
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWEARINGIN
FirstName: TRISHA
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1320 W MAIN ST
Address2:  
City: NEWARK
State: OH
PostalCode: 430551822
CountryCode: US
TelephoneNumber: 2205644027
FaxNumber:  
Practice Location
Address1: 20 W LOCUST ST
Address2:  
City: NEWARK
State: OH
PostalCode: 430555520
CountryCode: US
TelephoneNumber: 2205647940
FaxNumber: 2205647941
Other Information
ProviderEnumerationDate: 05/21/2021
LastUpdateDate: 05/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X320636OHN Nursing Service ProvidersRegistered Nurse 
363LF0000X0028652OHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LX0001XAPRN.CNP.0028652OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


Home