Organization Active NPI

SWJ Health Services PLLC

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1992532659
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SWJ HEALTH SERVICES PLLC
Practice address
2405 S Stemmons Fwy Ste 230
Lewisville, TX 75067-8776
Phone
(469) 293-4606
Fax
(469) 240-1334
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Min Kyung LeeNPI 1609233287
Title
Manager
Phone
(469) 293-4606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2405 S Stemmons Fwy Ste 230
Lewisville, TX 75067-8776

Mailing address

2320 Prairie Wind Path
The Colony, TX 75056-4694

Other names 1

  • Healing Hands Walk-In Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016001087 TX Part B Supplier - Clinic/Group Practice 1355873381 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2314127Healing Hands Walk-in Clinic2405 S Stemmons Fwy Ste 230, Lewisville, TX 75067Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

2405 S Stemmons Fwy
Ste 230
Lewisville, TX 75067
Phone (469) 293-4606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1992532659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PRAIRIE WIND PATH",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678776",
            "telephone_number": "469-293-4606",
            "fax_number": "469-240-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWJ HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIN KYUNG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-293-4606"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.