Bianca Lajeanne Palmer

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1019603 Issued in TX

Practice address

128 US 77 Hwy
Waxahachie, TX 75165

Phone

(972) 734-1645

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Callon Doc

  • Physician Assistant
  • Dallas, TX
  • NPI 1366162042
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1184214504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 US 77 HWY",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-734-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 US 77 HWY",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-734-1645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Prairie Ln",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751651352",
            "country_code": "US",
            "telephone_number": "708-735-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BIANCA",
        "middle_name": "LAJEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1019603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F12200706",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bianca.palmer416@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "260 Prairie Ln",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751651352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.texaspainnetwork.com/locations/waxahachie-texas/",
            "affiliation": "N",
            "endpointDescription": "Texas Pain Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 US 77 Hwy",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Damilola O Osibamowo
• Adam Ali Ahmed Osman, MD
• Angela Ott, LPC ASSOCIATE
• Our Purpose Is Your Blessing 2311 Family Trust
• Derrick Chase Owens, MD
• Sydney Pardino, M.D.
• Hoon Park, DO
• Baleigh Parker
• Stan Parker, D.D.S., M.S.D.
• Katie Elizabeth Wrzesinski Parmley

• Primary Care Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, 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 May 24, 2021; 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.