Individual provider Active NPI

Diana Bannister, ACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417228727
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
670576 Issued in TX
Practice address
6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273
Phone
(214) 827-3610
Fax
(214) 821-4017
NPI assigned
Jan 18, 2012
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 670576 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273

Mailing address

6301 Gaston Ave Ste 100W
Dallas, TX 75214-6273
Phone (214) 827-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130823000668 TX Practitioner - Nurse Practitioner 1456594498 Reassigns benefits to 1 organization
I20250516001693 FL Practitioner - Nurse Practitioner 1456594498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Neurology PA CurrentSince Sep 1, 2024 Accepting new patients
Texas Neurology, P.a. Past Accepting new patients

Locations

113 S Monroe St
Tallahassee, FL 32301
Phone (408) 507-1061

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

335 Madison Ave
Fl 3
New York, NY 10017

335 Madison Ave
Fl 4
New York, NY 10017
Phone (561) 693-2509

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAABA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1417228727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146273",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 100W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146273",
            "telephone_number": "214-827-3610",
            "fax_number": "214-821-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "DIANA",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "670576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.