Swan Health & Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SWAN HEALTH & WELLNESS LLC

Practice address

1174 Idlewood Dr
Waco, TX 76705-5238

Phone

(254) 214-2558

NPI assigned

Jan 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chandra Montgomery

Title

Managing Member

Phone

(254) 214-2558

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Swan Health & Wellness LLC

  • In Home Supportive Care Agency
  • Waco, TX
  • NPI 1508514084
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1245703149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 IDLEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767055238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 IDLEWOOD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767055238",
            "telephone_number": "254-214-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 E Elm St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "TX",
            "postal_code": "766452646",
            "country_code": "US",
            "telephone_number": "254-214-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWAN HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "254-214-2558"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carleigh Sutherland, OTR
• Erika Sutton, P.T.
• Meghan Danielle Sutton, FNP-C
• Herbert Lee Svec, R.PH
• Amber Swain
• Swan Health & Wellness LLC
• Forrest Beau Swann, MD
• Angeline A Swiat, CRNA
• Calleigh Swift, LCSW
• Melissa Switzer, PSY.D.

• Primary Care Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.