STEPHANIE SWANSON (NPI# 1750306882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750306882 |
Entity Type | Individual |
Full Name | STEPHANIE SWANSON |
Credential | NP |
Practice Address |
1125 Davis Blvd Ste 100 Southlake TX 76092 |
Mailing Address |
12000 Horseshoe Ridge Dr Fort Worth TX 76244-4804 |
Practice Telephone | 8174881956 |
Practice Fax Number | 8134888675 |
Mailing Telephone | 7166222969 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2018-10-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135304 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F334028 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02777402 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
701 Seneca St, Buffalo, NY 14210 | 7169954433 | |
7510 N Beach St, Fort Worth, TX 761371505 | (817) 498-1818 | 8175813761 |
Elm and Carlton St, Buffalo, NY 142630001 | 7168452300 | 7168458057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174144950 | Stephanie Suzanne Swanson | Registered Nurse | 3370 Astorbrook Cir, Highlands Ranch, CO 80126-7818 | 2020-05-02 |
1588044663 | Stephanie Swanson | Occupational Therapist | 9120 Ripple Ridge Ave, #101, Las Vegas, NV 89149-2948 | 2015-06-04 |
1316205511 | Stephanie Swanson | Acupuncturist | 3575 Ne Broadway St, Portland, OR 97232-1820 | 2012-04-25 |
1114973435 | Stephanie D Swanson | Physical Therapist | 1401 Route 70 W, Fox Rehabilitation Services, Cherry Hill, NJ 08002-3731 | 2006-05-26 |
1457816100 | Stephanie Margaret Swanson | Community Health Worker | 3400 Montgomery Dr, Santa Rosa, CA 95405-5142 | 2019-02-06 |
1114492691 | Stephanie Nicole Swanson | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2018-10-10 |
1588010516 | Stephanie Swanson | Pharmacist | 901 S 2nd St Ste A, Minneapolis, MN 55415-2123 | 2016-05-09 |
1811285612 | Stephanie Swanson | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2011-07-13 |
1053612507 | Stephanie Catherine Swanson | Registered Nurse | 401 Cypress St, Manchester, NH 03103-3628 | 2010-11-15 |
Street Address |
1125 DAVIS BLVD STE 100 |
City | SOUTHLAKE |
State | TX |
Zip Code | 76092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528506730 | Mw Wellness V, LLC | Family Medicine | 1125 Davis Blvd Ste 100, Southlake, TX 76092-8256 | 2017-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
Find all providers in zip 76092 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417420415 | Elizabeth Murphy | Nurse Practitioner | 1210 N Carroll Ave, Southlake, TX 76092-4512 | 2019-01-02 |
1518432418 | Leslie C. Hatcher | Nurse Practitioner | 418 Southridge Lakes Pkwy, Southlake, TX 76092-5911 | 2018-10-06 |
1801243779 | Mathew Roy | Nurse Practitioner | 1920 E State Highway 114, Southlake, TX 76092-6510 | 2016-05-19 |
1912397233 | Esther Longe | Nurse Practitioner | 2777 E Southlake Blvd, Suite 140, Southlake, TX 76092-8016 | 2015-01-24 |
1760882518 | Parvaneh Barron | Nurse Practitioner | 771 E Southlake Blvd Ste 101, Southlake, TX 76092-1483 | 2014-08-29 |
1124439054 | Jennifer Mcintosh | Nurse Practitioner | 601 E Southlake Blvd Ste 200, Southlake, TX 76092-6248 | 2014-05-13 |
1811160062 | Gwen Tinkis | Nurse Practitioner | 1050 E Hwy 114, Suite 100, Southlake, TX 76092-5242 | 2008-04-09 |
1689740656 | Mesobella | Nurse Practitioner | 731 E Southlake Blvd # 180, Southlake, TX 76092-6377 | 2006-11-28 |
1952320483 | Tricia M Lawler | Nurse Practitioner | 620 N. Kimball Ave, Suite 100, Southlake, TX 76092 | 2006-07-18 |
1043277221 | Janice F Rubbelke | Nurse Practitioner | 601 E Southlake Blvd, Suite 200, Southlake, TX 76092-6251 | 2006-04-29 |
Find all providers in SOUTHLAKE |
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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.