Stephene Suzette Gwinn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP1071892 Issued in TX

Practice address

234 W Campbell Rd
Richardson, TX 75080-3512

Phone

(972) 474-3221

NPI assigned

Mar 15, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total MD Physicians Group, PLLC

  dba Total Behavioral Health

  • Family Medicine Physician
  • Austin, TX
  • NPI 1982031852
  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  Nurse Practitioner, TX

  Medicare reassignment NPD
• Trinity MD LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1811519093
  Medicare reassignment

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1285382606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-782-9312",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803512",
            "telephone_number": "972-474-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "STEPHENE",
        "middle_name": "SUZETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1071892",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1071892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anu Gupta, M.D.
• Lalita Gupta, M.D.
• Tatyana Gurevich, AGNP
• Jose Armando Gutierrez, MD
• Tsigereda A. Guyassa, PMHNP-BC
• H2 Rehabilitation Services of Waco LP (H2 Health)
• Shelly Lewis Haarala, OT
• Haastade Medical Supply
• Habibi Smiles PLLC
• David Z Haddad, DPM

• Family Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.