Stephanie Swanson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135304 Issued in TX

Practice address

1125 Davis Blvd Ste 100
Southlake, TX 76092

Phone

(817) 488-1956

Fax

(813) 488-8675

NPI assigned

Jul 12, 2006

Last updated

Jul 21, 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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Southlake Wound Care & Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Southlake, TX
  • NPI 1427912641
  Medicare reassignment NPD
• Ipc Hospitalist Services of New York, P.C.

  • Hospitalist Physician
  • Buffalo, NY
  • NPI 1538424650
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750306882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 HORSESHOE RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444804",
            "telephone_number": "716-622-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 DAVIS BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-488-1956",
            "fax_number": "813-488-8675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-8057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7510 N Beach St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761371505",
            "country_code": "US",
            "telephone_number": "817-498-1818",
            "fax_number": "817-581-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-8057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14210",
            "country_code": "US",
            "telephone_number": "716-995-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02777402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sutton
• Svit Aesthetics LLC
• Rebekah L Swaim, LCSW
• Ann Swanson, RD
• Philip H Swanson, M.D.
• Tara B Swanson
• Kathleen Sweeney, MA LMFT
• Alexandria Denise Sweet, RBT
• Synergy Iom, LLC
• Synmed, LLC

• Family Nurse Practitioner in Southlake, TX
• Providers in Southlake, 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 Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.