NPI age
19 years
Enumerated 2006-07-12
● Active
Type 1 · Individual
Stephanie Swanson, NP
Swanson is 1 of 61 nurse practitioner providers in Southlake and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
1125 Davis Blvd Ste 100
Southlake, TX 76092
Mailing address
12000 Horseshoe Ridge Dr
Fort Worth, TX 762444804
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
Elm And Carlton St
Buffalo, NY 142630001
Location 3
Elm And Carlton St
Buffalo, NY 142630001
Location 4
7510 N Beach St
Fort Worth, TX 761371505
Location 5
701 Seneca St
Buffalo, NY 14210
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 02777402 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Southlake in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.