NPI Code Details Logo

NPI 1336075050

NPI 1336075050 : JAMITA SWEARENGEN : BOLINGBROOK, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336075050
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAMITA SWEARENGEN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/22/2026
-----------------------------------------------------
    Last Update Date     |    06/22/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    192 BROOKWOOD LN W 
-----------------------------------------------------
    City                 |    BOLINGBROOK
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60440-5510
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-860-1803
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5413 RIVIERA BLVD 
-----------------------------------------------------
    City                 |    PLAINFIELD
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60586-5409
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-860-1803
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    174H00000X
-----------------------------------------------------
    Taxonomy Name        |    Health Educator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    174N00000X
-----------------------------------------------------
    Taxonomy Name        |    Lactation Consultant (Non-RN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    374J00000X
-----------------------------------------------------
    Taxonomy Name        |    Doula
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.