TRACY ROCHELLE WINDHAM (NPI# 1750645545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750645545 |
Entity Type | Individual |
Full Name | TRACY ROCHELLE WINDHAM |
Other Name | TRACY ROCHELLE CREAMER, STEVENS |
Credential | FNP-C |
Practice Address |
2100 W White Street Suite 150 Anna TX 75409 |
Mailing Address |
2100 W White St Ste 150 Anna TX 75409-5155 |
Practice Telephone | 9725876080 |
Practice Fax Number | 9728728667 |
Mailing Telephone | 9725876080 |
Mailing Fax Number | 9728728667 |
Enumeration Date | 2012-06-27 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
599539 | TX | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121869 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4004 Medical Pkwy, Greenville, TX 754017854 | 9034501515 | 9034509466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194834804 | Tracy T Windham | Dentist | 5500 West Markham St, Little Rock, AR 72205 | 2006-08-29 |
Street Address |
2100 W WHITE STREET SUITE 150 |
City | ANNA |
State | TX |
Zip Code | 75409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700397882 | Y.h. Anna, Pllc | Nurse Practitioner | 2100 W White Street, Suite 150, Anna, TX 75409 | 2017-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528604675 | Surgery Center of North Texas, Pllc | Clinic/Center | 330 Standridge Blvd, Anna, TX 75409 | 2019-11-25 |
1093375412 | Augustine Onuoha | Registered Nurse | 1313 Bridgeport Dr, Anna, TX 75409 | 2019-06-18 |
1699277400 | Knight Family Chiropractic of Anna, LLC | Chiropractor | 1108 W. White St., Suite 100, Anna, TX 75409 | 2018-03-07 |
1023542883 | Reinert Family Eye Care, Pllc | Optometrist | 521 S Central Expy, Anna, TX 75409 | 2017-04-18 |
1902339096 | Risikat Idowu Lawal | Nurse Practitioner | 1130 Annie Oakley Dr, Anna, TX 75409 | 2017-04-06 |
1144760851 | Branches Dental, Pllc | Dentist | 2100 West White St, Suite 100, Anna, TX 75409 | 2017-02-28 |
1134667645 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 521 S. Central Express Way, Anna, TX 75409 | 2017-02-03 |
1972900884 | Ambience Community Services, LLC | Community/Behavioral Health | 709 Bamboo Dr, Anna, TX 75409 | 2014-11-21 |
1952728073 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2740 W White St, Anna, TX 75409 | 2014-03-26 |
1013252139 | Anna Dental | Dentist | 2101 W. White St., Suite 100, Anna, TX 75409 | 2012-11-29 |
Find all providers in zip 75409 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902339096 | Risikat Idowu Lawal | Nurse Practitioner | 1130 Annie Oakley Dr, Anna, TX 75409 | 2017-04-06 |
1386941813 | Janet S Wheat | Nurse Practitioner | 813 W White St # 100, Anna, TX 75409-2613 | 2011-02-18 |
1982654653 | Elissa E Martin | Nurse Practitioner | 104 Diamond Drive, Anna, OH 45302 | 2006-05-11 |
1013567734 | Cassy A Coleman | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2019-09-14 |
1306303292 | Erica Vining | Nurse Practitioner | 513 N Main St, Anna, IL 62906-1668 | 2019-02-27 |
1104300094 | Elizabeth Shallenberger | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2018-09-18 |
1700397882 | Y.h. Anna, Pllc | Nurse Practitioner | 2100 W White Street, Suite 150, Anna, TX 75409 | 2017-10-17 |
1306384136 | Jolene K Aden-else | Nurse Practitioner | 813 W White St # 100, Anna, TX 75409-2613 | 2017-01-31 |
1386960151 | Mary K Chapman | Nurse Practitioner | 515 N Main St, Suite C, Anna, IL 62906-1668 | 2010-04-19 |
1700906021 | Kathy L Schierbaum | Nurse Practitioner | 517 N Main St, Anna, IL 62906-1668 | 2007-03-30 |
Find all providers in ANNA |
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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.