Active NPI
Devin Aubry Windham, CPNP-PC
- Primary Care Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1356945703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1018118
- Practice address
- 1401 W Pulaski St
Fort Worth, TX 76104-2717 - Phone
- (682) 885-8012
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1018118 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 1018118 | TX | Primary |
Addresses
Primary practice location
1401 W Pulaski St
Fort Worth, TX 76104-2717
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-6483
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwindham174324@CookChildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018118 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients |
Locations
1401 W Pulaski St
Fort Worth, TX 76104
Phone (682) 885-8012
1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
Interoperability endpoints
- dwindham174324@cookchildrens.direct-ci.com
- devin.windham@116865639055364.direct.elationemr.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1356945703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99213",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990213",
"telephone_number": "682-885-6483",
"fax_number": "682-885-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W PULASKI ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042717",
"telephone_number": "682-885-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "DEVIN",
"middle_name": "AUBRY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1018118",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "1018118",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwindham174324@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "1401 W Pulaski St",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.