Individual provider Active NPI

Devon Nye, FNP

  • Pediatric Nurse Practitioner
  • Waco, TX
National Provider Identifier
1578077848
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
803417 Issued in TX
Practice address
120 Hillcrest Medical Blvd Ste 200
Waco, TX 76712-8950
Phone
(254) 297-0400
NPI assigned
Nov 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 803417 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd Ste 200
Waco, TX 76712-8950

Mailing address

329 Bluebonnet Cir
MC Gregor, TX 76657-9510
Phone (254) 717-7626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnye30827@direct.sw.org

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
I20180212001241 TX Practitioner - Nurse Practitioner 9931469954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
803417TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott and White Clinic CurrentSince Feb 2, 2018 Accepting new patients
Scott & White Clinic CurrentSince Feb 2, 2018 Accepting new patients
Scott & White Clinic Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

3801 Scott and White Dr
Killeen, TX 76543
Phone (254) 680-1100

1901 SW H K Dodgen Loop
Bldg 300
Temple, TX 76502
Phone (254) 935-4888

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

120 Hillcrest Medical Blvd
Ste 101
Waco, TX 76712
Phone (254) 297-0400

120 Hillcrest Medical Blvd
Ste 200
Waco, TX 76712
Phone (254) 297-0400

Organizations & group practices 4

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": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1578077848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BLUEBONNET CIR",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766579510",
            "telephone_number": "254-717-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128950",
            "telephone_number": "254-297-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "DEVON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "803417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnye30827@direct.sw.org",
            "affiliation": "N",
            "address_1": "120 Hillcrest Medical Blvd Ste 200",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.