Active NPI
Tracy Rochelle Windham, FNP-C
- Family Nurse Practitioner
- Anna, TX
National Provider Identifier
1750645545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP121869
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 599539 | TX | MD | General Practice Registered Nurse |
| AP121869 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y.H. Anna, PLLC | Family | Current | Accepting new patients |
Locations
2100 W White St
Ste 150
Anna, TX 75409
Phone (972) 587-6080
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.