Individual provider Active NPI

Tracy Rochelle Windham, FNP-C

  • Family Nurse Practitioner
  • Anna, TX
National Provider Identifier
1750645545
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121869 Issued in TX
Practice address
2100 W White St Ste 150
Anna, TX 75409-5159
Phone
(972) 587-6080
Fax
(972) 872-8667
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 599539 TX
Family Nurse Practitioner 363LF0000X AP121869 TX Primary

Addresses

Primary practice location

2100 W White St Ste 150
Anna, TX 75409-5159

Mailing address

2100 W White St Ste 150
Anna, TX 75409-5155
Phone (972) 587-6080

Other names 1

  • Tracy Rochelle Creamer, Stevens Former name

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
599539TXMDGeneral Practice Registered Nurse
AP121869TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Y.H. Anna, PLLC Family CurrentSince Dec 24, 2023 Accepting new patients

Locations

2100 W White St
Ste 150
Anna, TX 75409
Phone (972) 587-6080

Interoperability endpoints

  • Direct secure messaging: tracy.windham.1@18075.direct.athenahealth.com

Organizations & group practices 1

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1750645545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W WHITE ST STE 150",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095155",
            "telephone_number": "972-587-6080",
            "fax_number": "972-872-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W WHITE ST STE 150",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095159",
            "telephone_number": "972-587-6080",
            "fax_number": "972-872-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "TRACY",
        "middle_name": "ROCHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "599539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CREAMER, STEVENS",
            "middle_name": "ROCHELLE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anna, TX

Sources for this page

Verify at the official NPI Registry.