Individual provider Active NPI

Bianca N Lenzy, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Converse, TX
National Provider Identifier
1639893522
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
1054881 Issued in TX
Practice address
6726 Slaton FLDS
Converse, TX 78109-3789
Phone
(210) 707-0745
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 1054881 TX Primary

Addresses

Primary practice location

6726 Slaton FLDS
Converse, TX 78109-3789

Mailing address

6726 Slaton FLDS
Converse, TX 78109-3789
Phone (210) 707-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054881TXMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Odessa Current Accepting new patients

Locations

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 2C30L
Odessa, TX 79763
Phone (432) 620-1041

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, 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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1639893522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 SLATON FLDS",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093789",
            "telephone_number": "210-707-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 SLATON FLDS",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093789",
            "telephone_number": "210-707-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZY",
        "first_name": "BIANCA",
        "middle_name": "N",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "1054881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.