Dewitt Medical District

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DEWITT MEDICAL DISTRICT

Practice address

5301 W Duval Rd
Austin, TX 78727-6618

Phone

(512) 345-1805

Fax

(512) 349-9146

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Greg Pritchett

Title

Cfo

Phone

(361) 275-0504

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• Windsor Nursing and Rehabilitation Center of Duval Doing business as

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1851629430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-345-1805",
            "fax_number": "512-349-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 W DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276618",
            "telephone_number": "512-345-1805",
            "fax_number": "512-349-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-275-0504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215708301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004970",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017938",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Nursing and Rehabilitation Center of Duval",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Dewan
• Stephen Dewan, M.D.
• Hilary Deweerd, LCSW
• Caitlin Deweese
• Zion Angelique Dewerff
• Cynthia Domingue Dewitt, OTR
• Daron Wade Dewitt
• Duane Dewitt
• Joanna Dewitt, PHARM.D.
• Shanna Dewitt

• Skilled Nursing Facility in Austin, TX
• Providers in Austin, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.