Rocky Eugene Banda

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

101 Peaceful LN
Converse, TX 78109-1007

Phone

(210) 248-9077

NPI assigned

Sep 2, 2010

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1578870135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28220",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928220",
            "telephone_number": "505-471-5006",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEACEFUL LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091007",
            "telephone_number": "210-248-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Townsgate Plz",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881013714",
            "country_code": "US",
            "telephone_number": "575-742-2620",
            "fax_number": "575-742-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDA",
        "first_name": "ROCKY",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awesome Healthcare Services LLC
• Norma Irene Ayala
• Robert Charles Ayres II, RN
• Kaydee Bailey, PTA
• Brenda Baker, RPH
• Tania Banda, LVN
• Jamaica D Bates, LPC
• Genia Verlene Beard-Skilang, CST
• Albert Lee Bell
• Beneath the Surface Therapy Solutions LLC

• Peer Specialist in Converse, TX
• Providers in Converse, TX by specialty
• Peer Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.