Desiree Redwine

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

869126 Issued in TX

Practice address

2501 Russell Long Blvd
Canyon, TX 79016-0006

Phone

(806) 651-2632

NPI assigned

Jul 15, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1184544751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "STINNETT",
            "state": "TX",
            "postal_code": "790830284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RUSSELL LONG BLVD",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160006",
            "telephone_number": "806-651-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWINE",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "869126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollye Peters, MS, CCC-SLP
• Kennedy Powell, M.S., CCC-SLP
• Preventive Primary Care, LLC
• Kayla J Price, FNP-C
• Kevin E. Raef, D.C.
• Liam Rettenmeier, LAT, ATC,EMT
• Robby Douglas Rhodes, MS,ATC,LAT
• Larry C Roberts, MD
• Katherine Sheri Rogers, PT
• Virginia Sauer Rojas, MA

• Registered Nurse in Canyon, TX
• Providers in Canyon, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.