Individual provider Active NPI

Devanee Pillay-Edwards, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1336825744
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1124366 Issued in TX
Practice address
5931 Crosslake Pkwy
Waco, TX 76712-6986
Phone
(770) 656-1139
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1124366 TX Primary

Addresses

Primary practice location

5931 Crosslake Pkwy
Waco, TX 76712-6986

Mailing address

5705 Silver Buckle Dr
McKinney, TX 75070-6471
Phone (214) 789-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816002252 TX Practitioner - Nurse Practitioner 3173985512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Psychiatry Healthcare PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

2437 Bay Area Blvd
Houston, TX 77058
Phone (281) 944-4701

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1336825744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 SILVER BUCKLE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706471",
            "telephone_number": "214-789-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126986",
            "telephone_number": "770-656-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAY-EDWARDS",
        "first_name": "DEVANEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1124366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.