Individual provider Active NPI

Lynette Ewuchie, P.A.

  • Physician Assistant
  • Waxahachie, TX
National Provider Identifier
1881010130
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08848 Issued in TX
Practice address
411 E Jefferson St
Waxahachie, TX 75165-3827
Phone
(469) 257-3500
Fax
(972) 923-2445
NPI assigned
Mar 11, 2014
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08848 TX Primary

Addresses

Primary practice location

411 E Jefferson St
Waxahachie, TX 75165-3827

Mailing address

411 E Jefferson St
Waxahachie, TX 75165-3827
Phone (469) 257-3500

Other practice location 1

15150 Preston Rd Ste 300
Dallas, TX 75248-4871
Phone (469) 257-3500

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
I20141216000388 TX Practitioner - Physician Assistant 4789907197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healing Mind PsychiatryGroup PAC ID 6608107123, 2 clinicians

Practice addresses (Care Compare)

15150 Preston Rd
Suite 300
Dallas, TX 75248-4871
Phone (972) 472-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Child Guidance Centers CurrentSince Jul 8, 2019 Accepting new patients

Locations

8915 Harry Hines Blvd
Dallas, TX 75235
Phone (972) 548-9484

Organizations & group practices 3

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1881010130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653827",
            "telephone_number": "469-257-3500",
            "fax_number": "972-923-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653827",
            "telephone_number": "469-257-3500",
            "fax_number": "972-923-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15150 Preston Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752484871",
            "country_code": "US",
            "telephone_number": "469-257-3500",
            "fax_number": "214-306-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWUCHIE",
        "first_name": "LYNETTE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.