Suzonne M Windham, NPF

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95004109 Issued in CA

Practice address

41865 Boardwalk Ste 103
Palm Desert, CA 92211-9031

Phone

(760) 775-4181

Fax

(760) 775-4818

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: suzonnewindham@iemg.allscriptsdirect.net
• Direct secure messaging: suzonne.windham.1@10039.direct.athenahealth.com
• Direct secure messaging: suzonne.windhamnp.p1@direct.vistacommunityclinic.nextgenshare.com

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.

• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1710325683
  NPD (past)
• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1811319890
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679926208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41865 BOARDWALK STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119031",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "SUZONNE",
        "middle_name": "M",
        "credential": "NPF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne S Williams, MSW LCSW
• Judith M Williams, LMFT
• Holly C Willow, RN
• Sheila Rabbani Wilson, MD
• Marion Ray Windham, M.D.
• Michael Wolfes, CLMT
• Lindsey Wolverton, COTA
• Naomi Wood
• Judith Woodford, CRNA
• World Gym of Palm Desert LLC

• Primary Care Nurse Practitioner in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.