Sue Whaley Bajackson, RN,MSN,FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP102784 Issued in TX

Practice address

175 Mary Max Cir
San Marcos, TX 78666-3254

Phone

(956) 434-1377

NPI assigned

Oct 22, 2008

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

Other names 1

• Martha Sue Whaley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1104078054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MARY MAX CIR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663254",
            "telephone_number": "956-434-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARY MAX CIR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663254",
            "telephone_number": "956-434-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJACKSON",
        "first_name": "SUE",
        "middle_name": "WHALEY",
        "credential": "RN,MSN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP102784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "WHALEY",
            "middle_name": "SUE",
            "credential": "RN-C,MSN,FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Baas, PT, DPT
• Samantha Backus
• Alexandra Baez
• Mariel Bagley, MD
• Margaret Anne Bailey, N.P.
• Christopher C Baker, DPT, DC, MS, DACBN
• James Keith Baker, M.D
• Jessica Baker
• Balcones Eye Center, PA
• Balcones Eye Center, PA

• Primary Care Nurse Practitioner in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.