Adam S Banasiak, R.N, C.N.O.R, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

699010 Issued in TX

Practice address

27111 Rose Vervain Dr
Spring, TX 77386-3948

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1326211533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 PINECROFT DR # 8691",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803220",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 ROSE VERVAIN DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863948",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASIAK",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "R.N, C.N.O.R, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "699010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Balette, MD
• Melissa Alice Balk-Elliott, DDS
• Courtney S Ball, M.A. CCC-SLP
• Lauren Ball
• Brooklyn Ballard
• Orunima Banerjee
• Isaac Banks, DC
• Mayra Cardona Banos, MOT, OTR
• Emad Banoub
• Abhishek Bansal

• Registered Nurse First Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.