Autumn Wind

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104275 Issued in TX

Legal business name

AUTUMN WIND

Practice address

1004 E. Coke Rd
Winnsboro, TX 75494

Phone

(903) 342-3388

Fax

(903) 342-3389

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Dyer

Title

Administrator

Phone

(903) 342-3388

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1467776831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E. COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "75494",
            "telephone_number": "903-342-3388",
            "fax_number": "903-342-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E. COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "75494",
            "telephone_number": "903-342-3388",
            "fax_number": "903-342-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN WIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-342-3388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto R de la Cruz MD PA
• Jennifer Lee Angelo-Jongsma, RN, PMHNP
• Janet Aubrey
• Rebekah D Aulbaugh, PT
• Jennifer Annette Austin
• Lindsey Rayne Azlin, PHARM D
• Terri Lynn Baker, OTR/L
• Bart Pruitt DO
• Carol Bass, PTA
• June Elizabeth Beamer, MD

• Assisted Living Facility in Winnsboro, TX
• Providers in Winnsboro, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.