SWAN HEALTH & WELLNESS LLC (NPI# 1245703149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245703149 |
| Entity Type | Organization |
| Organization Name | SWAN HEALTH & WELLNESS LLC |
| Practice Address |
1174 Idlewood Dr Waco TX 76705-5238 |
| Practice Telephone | 2542142558 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | CHANDRA MONTGOMERY (MANAGING MEMBER) |
| Authorized Official Telephone | 2542142558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 E Elm St, Hillsboro, TX 766452646 | 2542142558 |
| Street Address |
1174 IDLEWOOD DR |
| City | WACO |
| State | TX |
| Zip Code | 76705-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124186507 | Chandra L Montgomery | Nurse Practitioner | 1174 Idlewood Dr, Waco, TX 76705-5238 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860943 | Adam Kyle Spillers | Pharmacist | 1521 I-35 East, Bellmead, TX 76705 | 2020-10-27 |
| 1245849157 | Jonathan Huo | Pharmacist | 801 N I-35, Bellmead, TX 76705 | 2020-07-27 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1285193607 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 510 N Loop 340, Ste E, Bellmead, TX 76705 | 2019-03-15 |
| 1285105585 | Charlotte Robinson | Registered Nurse | 1417 E Loop 340, Waco, TX 76705 | 2018-12-12 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1619494226 | Ariel Rennspies | Physician Assistant | 1135 Tx-340 Loop, Waco, TX 76705 | 2017-08-24 |
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1396131926 | Kate Marie-hall Nelson | Speech-Language Pathologist | 208 Chama Drive, Hewitt, TX 76705 | 2015-04-10 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| Find all providers in zip 76705 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740588 | Jessica Claudia Cazaubon | Nurse Practitioner | 13327 Crim Rd, Houston, TX 77049-3448 | 2020-11-04 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1215536131 | Linnet Litakuli Nandwa | Nurse Practitioner | 6509 Sheerwater Rd, Arlington, TX 76002-3680 | 2020-10-21 |
| 1902405301 | Texas Suburban Visiting Physician Services | Nurse Practitioner | 2200 Smith Barry Rd, Pantego, TX 76013-5800 | 2020-10-19 |
| 1437757432 | Katie Jo Dixon | Nurse Practitioner | 4300 Speedway Unit 4775, Austin, TX 78765-2032 | 2020-10-12 |
| 1376140954 | Melissa Kujawski | Nurse Practitioner | 332 Enid Dr, Lewisville, TX 75056-5874 | 2020-10-06 |
| 1952908188 | Sari Alhaik | Nurse Practitioner | 411 Park Grove Dr Ste 620, Katy, TX 77450-1576 | 2020-10-01 |
| 1669089421 | Heather Ann Votion | Nurse Practitioner | 4501 S General Bruce Dr Ste 75, Temple, TX 76502-1466 | 2020-09-25 |
| 1245847318 | Xin Peng | Nurse Practitioner | 707 Walsh Hill Trl, Cedar Park, TX 78613-4855 | 2020-09-23 |
| 1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
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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.