SWAN HEALTH & WELLNESS LLC
NPI 1245703149
Nurse Practitioner - Primary Care in Waco, TX

Active since January 03, 2019
1174 IDLEWOOD DR, WACO, TX 76705(254) 214-2558 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2020, Jan 3, 2019 (2 updates tracked since 2019).

About Swan Health & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWAN HEALTH & WELLNESS LLC (NPI 1245703149) is a healthcare organization registered as a primary care in Waco, Texas and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Hillsboro and lists Chandra Montgomery, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1245703149
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSWAN HEALTH & WELLNESS LLC
Location Address1174 IDLEWOOD DRWaco, TX 76705-5238
Mailing Address1174 Idlewood DrWaco, TX 76705-5238
Organization SubpartNo
Authorized OfficialChandra MontgomeryManaging Member · (254) 214-2558
Enumeration DateJanuary 3, 2019
Last NPPES UpdateJune 15, 20202 updates tracked since enumeration
NPPES CertifiedJune 15, 2020
NPI 1245703149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1174 IDLEWOOD DR, Waco, TX 76705

Secondary Practice Location 1

Location 11302 E Elm StHillsboro, TX 76645-2646 · Phone (254) 214-2558

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1174 IDLEWOOD DR
WACO, TX 76705
In Home Supportive Care
1174 IDLEWOOD DR
WACO, TX 76705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swan Health & Wellness LLC's NPI number?

The NPI number for Swan Health & Wellness LLC is 1245703149. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is Swan Health & Wellness LLC located?

Swan Health & Wellness LLC is located at 1174 Idlewood Dr, Waco, TX 76705. The listed phone number is (254) 214-2558.

What is Swan Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Swan Health & Wellness LLC was last updated on June 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.