Active NPI
Lily Robyn Balakhaneh
- Student in an Organized Health Care Education/Training Program
- Plano, TX
National Provider Identifier
1831041748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 1084177
- Practice address
- 2108 Willowbrook Way
Plano, TX 75075-3130 - Phone
- (707) 548-5135
- NPI assigned
- Feb 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1084177 | TX | Primary |
Addresses
Primary practice location
2108 Willowbrook Way
Plano, TX 75075-3130
Mailing address
2108 Willowbrook Way
Plano, TX 75075-3130
Phone (707) 548-5135
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1084177 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1831041748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 WILLOWBROOK WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750753130",
"telephone_number": "707-548-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 WILLOWBROOK WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750753130",
"telephone_number": "707-548-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAKHANEH",
"first_name": "LILY",
"middle_name": "ROBYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "1084177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.