Individual provider Active NPI

Devi Dy Morelos, FNP

  • Family Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1508518572
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068133 Issued in TX
Practice address
9300 Everly Dr
Killeen, TX 76542-2103
Phone
(312) 619-2937
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1068133 TX Primary

Addresses

Primary practice location

9300 Everly Dr
Killeen, TX 76542-2103

Mailing address

9300 Everly Dr
Killeen, TX 76542-2103
Phone (312) 619-2937

Other names 1

  • Devi Dawn Tomboc Dy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220228000451 TX Practitioner - Nurse Practitioner 5496826596 Reassigns benefits to 1 organization
I20231107002362 NV Practitioner - Nurse Practitioner 5496826596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068133TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accord Home Health Inc CurrentSince Mar 7, 2023 Accepting new patients
Theoria Medical CurrentSince Apr 11, 2022 Accepting new patients
Primary Care Providers of Southern Nevada LLC CurrentSince Sep 16, 2023 Accepting new patients
Accord Home Care Services, Inc Current Accepting new patients
D&D Home Health Incorporated PastSince Nov 13, 2010 Accepting new patients

Locations

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

6330 W Flamingo Rd
Unit 107
Las Vegas, NV 89103
Phone (725) 577-9018

310 S Jupiter Rd
Allen, TX 75002
Phone (972) 437-0250

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

Interoperability endpoints

  • Direct secure messaging: med-careproviders.devimorelos160081.advancedmd-direct.com@160081.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accord Home Health IncHenderson, NV, CCN 297375 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Mar 7, 2023
Mar 7, 2023
Mar 7, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1508518572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 EVERLY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422103",
            "telephone_number": "312-619-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 EVERLY DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422103",
            "telephone_number": "312-619-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELOS",
        "first_name": "DEVI",
        "middle_name": "DY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVI DAWN",
            "last_name": "DY",
            "middle_name": "TOMBOC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.