Lia Banka, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021022 Issued in NC

Practice address

203 Capcom Ave Ste 104
Wake Forest, NC 27587-6514

Phone

(919) 276-4005

Fax

(919) 276-4010

NPI assigned

Apr 15, 2022

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lia Michelle Kenyon Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• County of Wake

  dba Wake County Human Services (MH DD Sa)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
  • NPI 1295761617
  Medicare reassignment NPD
• County of Wake

  dba Wake County Health Dept

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
  • NPI 1801957576
  NPD
• County of Wake

  dba Wake County EMS

  • Land Ambulance
  • Raleigh, NC
  • NPI 1922098029
  NPD

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1699418822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CAPCOM AVE STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876514",
            "telephone_number": "919-276-4005",
            "fax_number": "919-276-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CAPCOM AVE STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876514",
            "telephone_number": "919-276-4005",
            "fax_number": "919-276-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKA",
        "first_name": "LIA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021022",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "UQMI1VS2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIA",
            "last_name": "KENYON",
            "middle_name": "MICHELLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer Michelle Baker
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• Randy Gray Ball, R. PH.
• Bamyline Family Services
• Cecelia P Banks, MSW, LCSWA
• Rebecca Banks
• Shahir Bano
• Kimberly A Baradei, SLP
• Kim Fuller Barber, RPH

• Family Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.

Verify at the official NPI Registry.