Wren A. Deavers, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

666351 Issued in TX

Practice address

2400 Cedar Bend Dr
Austin, TX 78758-5378

Phone

(512) 901-4031

Fax

(512) 901-3937

NPI assigned

May 12, 2006

Last updated

Oct 19, 2015By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864
  Medicare reassignment NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin

  • General Practice Physician
  • Austin, TX
  • NPI 1073066239
  Medicare reassignment NPD
• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Rural Health Clinic/Center
  • La Grange, TX
  • NPI 1518536309
  NPD
• The University of Texas at Austin

  dba UT Austin Nursing - Wellness Centers

  • Health Service Clinic/Center
  • Del Valle, TX
  • NPI 1245612225
  NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1780218305
  NPD
• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)
• Whitestone Pediatrics Incorporated

  • Primary Care Clinic/Center
  • Cedar Park, TX
  • NPI 1700170313
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1356392682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4031",
            "fax_number": "512-901-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CEDAR BEND DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585378",
            "telephone_number": "512-901-4031",
            "fax_number": "512-901-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAVERS",
        "first_name": "WREN",
        "middle_name": "A.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "666351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenore Thomas Deangelis, LCSW
• Deangelo Friends LLC
• Laura Deangelo
• Ashley Brooks Deaton, M.D.
• William Joel Deaton, M.D.
• Angela Frances Debartolome, RDN
• Zenebe Debela, M.D.
• Chelsea Debernardis, LCSW
• Nicole A Deberry
• Tacara Deberry

• Pediatric Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.