Sally Diane Bonham, BSN, MSN, FNP, IBCLC
Family Nurse Practitioner · Waco, TX
Sally Diane Bonham, BSN, MSN, FNP, IBCLC is a family nurse practitioner with a practice address in Waco, Texas, and NPI 1811750078, issued on Jan 31, 2024. Check the license (Texas 1182184, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sally Diane Bonham
- Credential
- BSN, MSN, FNP, IBCLC
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License numbers
- 1182184 TX
638280 TX
Self-reported in NPPES; status is on the state search - Practice location
- 3500 Hillcrest Dr Ste 1, Waco, TX 76708
- Phone
- (254) 741-6641
- Enumerated
- Jan 31, 2024
- Record last updated
- Oct 29, 2025
- Fax
- (257) 453-7469
- Medicare enrollment
- Enrolled (PECOS I20251119005228); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 21,242 in Texas → Look up another NPI →
Also registered at 3500 Hillcrest Dr Ste 1
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Randy Bryson, FNPFamily Nurse Practitioner1861540254
- Melissa Easterwood, APRN-CNPFamily Nurse Practitioner1306780234
- Marisa Gingerich, FNP-CFamily Nurse Practitioner1780136986
- Mandi Hagler, NPFamily Nurse Practitioner1275664062
- Sandra Holley, DNP, APRN, FNP-CFamily Nurse Practitioner1659180123
- Jonathan Holt, MDPain Medicine (Physical Medicine & Rehabilitation) Physician1457989238
Verify Sally Diane Bonham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license 1182184Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mark Malone MD PAWaco, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sally Diane Bonham among 21,242 family nurse practitioner records in Texas
Sally Diane Bonham, BSN, MSN, FNP, IBCLC is one of 21,242 family nurse practitioner records with a practice address in Texas. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 86% of them.
- NPI issued2024 · 86% of these records are older, 8% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 53% of these records are
- Graduated2023 · median 2018 among the 11,286 with a school on file
- Record last updated2025 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
152 family nurse practitioner records list a practice address in Waco
They are 152 of the 3,295 NPPES records with a practice address in Waco, and 21,242 family nurse practitioner records in Texas.
All 21,242 in Texas → Every provider in Waco → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Marla Bible, RNFNPBCWaco, TX 767081932329463
- Randy Bryson, FNPWaco, TX 767081861540254
- Jennifer Cain, MSN, APRN, FNP-CWaco, TX 767081174168942
- William French, FNPWaco, TX 767081891207874
- Marisa Gingerich, FNP-CWaco, TX 767081780136986
- Mandi Hagler, NPWaco, TX 767081275664062
- Beverly Haynes, R.N., N.P.Waco, TX 767081619142825
- Betty Hendricks, FNPWaco, TX 767081922393610
Common questions
What is Sally Diane Bonham, BSN, MSN, FNP, IBCLC's NPI number?
Sally Diane Bonham, BSN, MSN, FNP, IBCLC's National Provider Identifier (NPI) is 1811750078, issued on Jan 31, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Sally Diane Bonham, BSN, MSN, FNP, IBCLC located?
The NPPES record lists a practice address at 3500 Hillcrest Dr Ste 1, Waco, TX, 76708. Phone: (254) 741-6641. Providers update this record themselves, so call before visiting.
How can I verify Sally Diane Bonham, BSN, MSN, FNP, IBCLC's license?
NPPES lists Texas license number 1182184, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.