Banyan Texas, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BANYAN TEXAS, LLC

Practice address

4168 County Road 444
Waelder, TX 78959-5328

Phone

(830) 283-3003

Fax

(954) 781-7173

NPI assigned

Aug 13, 2020

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anastasia Nichole Nauman

Title

Contracting and Cred Manager

Phone

(410) 800-8861

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy A Dean, FNP-BC/PMHNP

  • Nurse Practitioner
  • Lockhart, TX
  • NPI 1326416801
  NPD (past)
• Sandra Dunkin, MD

  • Psychiatry Physician
  • Bastrop, TX
  • NPI 1316328016
  NPD (past)
• Shelly Fay Haferkamp, DO

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1417418443
  NPD (past)
• Trisha Michele' Lindemann, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bryan, TX
  • NPI 1184344764
  NPD (past)
• Margaret Ellyn Musselman, APRN-BC

  • Family Nurse Practitioner
  • Bastrop, TX
  • NPI 1174736664
  NPD (past)
• Sherri Sarumi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
  • NPI 1821805128
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1629689559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 COUNTY ROAD 444",
            "city": "WAELDER",
            "state": "TX",
            "postal_code": "789595328",
            "telephone_number": "830-283-3003",
            "fax_number": "954-781-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "NAUMAN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CONTRACTING AND CRED MANAGER",
        "authorized_official_telephone_number": "410-800-8861"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4238503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stormi Renee Campbell, FNP- C
• Compass Health Systems of Texas, PA
• Gonzales Healthcare Systems (Sievers Medical Clinic - Waelder)
• Sue Hanner, FNP
• Jayne Payne, LCDC, ADCIII, PHD.

• Substance Abuse Rehabilitation Facility in Waelder, TX
• Providers in Waelder, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.