MRS. GWENDOLYN J STEWART


Address: 1420 Viceroy Dr, Dallas, TX 75235-2208
Phone: 2143582300

MRS. GWENDOLYN J STEWART (NPI# 1043442254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043442254
Entity Type Individual
Full Name MRS. GWENDOLYN J STEWART
Credential DNP, FNP-BC
Practice Address 1420 Viceroy Dr
Dallas
TX 75235-2208
Mailing Address 1907 Mission 66
Vicksburg
MS 39180-3711
Practice Telephone 2143582300
Practice Fax Number 2143666159
Mailing Telephone 6016361173
Enumeration Date 2009-08-20
Last Update Date 2020-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP118552 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP118552 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R881390 MS Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
1192 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 08602226 05
TX NURSE PRACTITIONER AP118552 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1907 Mission 66, Vicksburg, MS 391803711 6016361173
2651 Bolton Boone Dr, Desoto, TX 751152011 2143582300 2145796551
411 N Washington Ave Ste 7000, Dallas, TX 752461791 2143582300 2145796988

Other Providers GWENDOLYN STEWART

NPI Name Taxonomy Address Enumeration
1063448348 Gwendolyn Faye Stewart Social Worker 3430 E Russell Rd Ste 314, Las Vegas, NV 89120-2201 2006-06-25
1629567748 Gwendolyn Stewart Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2018-05-03

Office Location

Street Address 1420 VICEROY DR
City DALLAS
State TX
Zip Code 75235-2208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053382879 Ruben Velez Internal Medicine 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-01-30
1225279185 Beverly Bush Social Worker 1420 Viceroy Dr, Dallas, TX 75235-2208 2009-03-23
1225285844 Nadiya Tinki Lakhani Dietitian, Registered 1420 Viceroy Dr, Dallas, TX 75235-2208 2008-08-26
1467651521 Asha Joseph Chemmalakuzhy Internal Medicine 1420 Viceroy Dr, Lashunda Johnson, Dallas, TX 75235-2208 2007-07-17
1881702587 Samaha Syed Internal Medicine 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-08-25
1417063991 Marco Frank Dellaria Radiology 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-08-21
1639283906 Denise Kay Martelli Nurse Practitioner 1420 Viceroy Dr, Attn: Lashunda Johnson, Dallas, TX 75235-2208 2006-08-17
1477509222 Hector Reyes Internal Medicine 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-05-25
1861440109 Dallas Nephrology Associates Internal Medicine 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-05-05
1346206760 Arun Chandrakantan Internal Medicine 1420 Viceroy Dr, Dallas, TX 75235-2208 2006-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058895 Kailey Elaine Flowers Physical Therapy Assistant 2400 Empire Central Drive, Suite B, Dallas, TX 75235 2020-06-19
1265061071 Bella Xinyi O'malley Student in an Organized Health Care Education/Training Program 1935 Medical Drive, Dallas, TX 75235 2020-04-03
1427687318 Can Ozlu Student in an Organized Health Care Education/Training Program Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 2020-04-03
1689137515 Tarek Mansi Student in an Organized Health Care Education/Training Program 2222 Medical District Dr Apt 4325, Dallas, TX 75235 2019-04-08
1386117125 Christine Elizabeth Smith Physician Assistant 8134 Tex Oak Avenue, Dallas, TX 75235 2019-01-04
1447720016 Michelle Angelina Dye Physician Assistant 5959 Maple Avenue Apt 1171, Dallas, TX 75235 2018-11-27
1255869335 Andrea Nicole Pennington-peace Specialist/Technologist, Other 1935 Medial District, Dallas, TX 75235 2017-06-01
1194258152 Tricia Rood Student in an Organized Health Care Education/Training Program 5200 Harry Hines Blvd., Dallas, TX 75235 2017-04-06
1437690971 Robin Lee Counselor 8915 Hrry Hines Blvd, Dallas, TX 75235 2017-03-16
1871033746 Javier Davila-lopez Counselor 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 2017-02-27
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487274304 Arlena Culpepper Guzy Nurse Practitioner 900 Jackson St Ste 350, Dallas, TX 75202-4486 2020-04-21
1689205056 Lauren Ashley Gore Nurse Practitioner 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 2020-02-03
1508402405 Bailey Mcgee Nurse Practitioner 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 2019-11-26
1235790288 Julie Mills Struble Nurse Practitioner 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 2019-06-20
1689238339 Katherine O'connor Nurse Practitioner 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 2019-04-29
1033678792 Sandra Beverley Burrell-spence Nurse Practitioner 41 Riders Rdg, Dallas, GA 30132-8399 2019-03-12
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1841701984 Tam Numinh Tran Nurse Practitioner 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 2017-10-16
1356852784 Dallas County Hospital District Nurse Practitioner 1822 Young St, Dallas, TX 75201-5612 2017-10-12
1497274294 Kelly Beth Caldwell Nurse Practitioner 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 2017-09-12
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Competitor

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City DALLAS
Zip Code 75235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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