Individual provider Active NPI

Myesha D Banks, WHNP-BC

  • Sports Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1497906713
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
AP117170 Issued in TX
Practice address
9301 N Central Expy Ste 410
Dallas, TX 75231-0805
Phone
(972) 993-2290
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP117170 TX
Women's Health Nurse Practitioner 363LW0102X 758414 TX
Sports Medicine (Family Medicine) Physician 207QS0010X AP117170 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 410
Dallas, TX 75231-0805

Mailing address

10410 Royal Chapel Dr
Dallas, TX 75229-5040
Phone (614) 832-0761

Other practice location 1

8160 Walnut Hill Ln Ste 200
Dallas, TX 75231-4340
Phone (214) 363-4421 ext. 453

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000205 TX Practitioner - Nurse Practitioner 6608134770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
758414TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 14, 2018 Accepting new patients
Healthtexas Provider Network Sports Medicine CurrentSince May 14, 2018 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1497906713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 ROYAL CHAPEL DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295040",
            "telephone_number": "614-832-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "972-993-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8160 Walnut Hill Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314340",
            "country_code": "US",
            "telephone_number": "214-363-4421 x453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "MYESHA",
        "middle_name": "D",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP117170",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "758414",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "AP117170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.