Diana Bankhead, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2228 Issued in TX

Practice address

139 Maxine St
Mineola, TX 75773-1011

Phone

(903) 569-2929

Fax

(903) 569-2938

NPI assigned

Jul 3, 2006

Last updated

Feb 26, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diana Bankhead MD PLLC

  • Family Medicine Physician
  • Mineola, TX
  • NPI 1851629059
  Authorized official Same address or phone
• Trinity Clinic

  dba Trinity Clinic Family Practice

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1922058304
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1316977820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MAXINE ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731011",
            "telephone_number": "903-569-2929",
            "fax_number": "903-569-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAXINE ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731011",
            "telephone_number": "903-569-2929",
            "fax_number": "903-569-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Nutrient in Time
• Jacob Miller Allen, DDS
• Autumn Wind
• Jodi Leeann Bane, LPC
• Amber Barnes
• Nicole Rhea Bennett, PMHNP
• Bluebonnet Hospice of East Texas Inc
• Lauren Grace Bohannan, BSN, RN, IBCLC
• Brookshire Grocery Company (Brookshires Pharmacy)

• Family Medicine Physician in Mineola, TX
• Providers in Mineola, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.