Individual provider Active NPI

Ramona Delmundo-Bacani, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1639484355
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
457401 Issued in TX
Practice address
4811A Columbia Ave
Dallas, TX 75226-1034
Phone
(214) 823-5590
Fax
(214) 823-6638
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 457401 TX Primary

Addresses

Primary practice location

4811A Columbia Ave
Dallas, TX 75226-1034

Mailing address

608 W Davis St
Ste 101
Mesquite, TX 75149-4108
Phone (972) 289-2273

Other names 1

  • Ramona M Bacani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
457401TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica America, P.a. Past Accepting new patients

Organizations & group practices 1

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1639484355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W DAVIS ST",
            "address_2": "STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494108",
            "telephone_number": "972-289-2273",
            "fax_number": "972-285-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811A COLUMBIA AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261034",
            "telephone_number": "214-823-5590",
            "fax_number": "214-823-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMUNDO-BACANI",
        "first_name": "RAMONA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "457401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "BACANI",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.