Individual provider Active NPI

Lydia Mwesigwa, DNP-FNP

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1528752649
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1140706 Issued in TX
Practice address
2720 Stain Glass CT
Carrollton, TX 75007-5052
Phone
(214) 240-6146
NPI assigned
Jun 5, 2023
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1140706 TX Primary

Addresses

Primary practice location

2720 Stain Glass CT
Carrollton, TX 75007-5052

Mailing address

2720 Stain Glass CT
Carrollton, TX 75007-5052
Phone (214) 240-6146

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240226001044 TX Practitioner - Nurse Practitioner 9537078373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odette Louise Campbell, MD, PAGroup PAC ID 9335301829, 14 clinicians

Practice addresses (Care Compare)

5072 W Plano Pkwy
Suite 220
Plano, TX 75093-4475
Phone (469) 671-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1140706TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health and Home Care Services, LLC CurrentSince Jun 11, 2023 Accepting new patients
Odette Louise Campbell MD PA CurrentSince Feb 7, 2024 Accepting new patients
Crown Home Health Services PastSince Feb 1, 2003 Accepting new patients
Mercygrace Healthcare, Inc. PastSince Oct 22, 2002 Accepting new patients

Locations

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Health and Home Care Services, LLCCarrollton, TX, CCN 679324 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Dec 7, 2005
Apr 1, 2015
Feb 7, 2006
Dec 7, 2005
Dec 7, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1528752649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STAIN GLASS CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075052",
            "telephone_number": "214-240-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STAIN GLASS CT",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075052",
            "telephone_number": "214-240-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWESIGWA",
        "first_name": "LYDIA",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1140706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.