Active NPI
Tedi Pianalto
- Neonatal Nurse Practitioner
- Bullard, TX
National Provider Identifier
1295684280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 1232624
- Practice address
- 2006 Sage CV
Bullard, TX 75757-5622 - Phone
- (918) 607-1600
- NPI assigned
- Jan 23, 2026
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 1232624 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RO133951 | OK |
Addresses
Primary practice location
2006 Sage CV
Bullard, TX 75757-5622
Mailing address
2006 Sage CV
Bullard, TX 75757-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO133951 | OK | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295684280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 SAGE CV",
"city": "BULLARD",
"state": "TX",
"postal_code": "757575622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 SAGE CV",
"city": "BULLARD",
"state": "TX",
"postal_code": "757575622",
"telephone_number": "918-607-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIANALTO",
"first_name": "TEDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-23",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "1232624",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OK",
"license": "RO133951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.