Active NPI
Bianca N Lenzy, NNP
- Critical Care Neonatal Nurse Practitioner
- Converse, TX
National Provider Identifier
1639893522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 1054881
- Practice address
- 6726 Slaton FLDS
Converse, TX 78109-3789 - Phone
- (210) 707-0745
- NPI assigned
- Oct 4, 2022
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1054881 | TX | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.