Active NPI
Deborah Windham, MD
- Family Medicine Physician
- Rancho Mirage, CA
National Provider Identifier
1205593266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G71969
- Practice address
- 63 Hillcrest Dr
Rancho Mirage, CA 92270-5310 - Phone
- (760) 250-5724
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G71969 | CA | Primary |
Addresses
Primary practice location
63 Hillcrest Dr
Rancho Mirage, CA 92270-5310
Mailing address
63 Hillcrest Dr
Rancho Mirage, CA 92270-5310
Phone (760) 250-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71969 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1205593266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 HILLCREST DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705310",
"telephone_number": "760-250-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 HILLCREST DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705310",
"telephone_number": "760-250-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G71969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.