Dalisa Kelly Bacon
NPI 1063062800 · Licensed Vocational Nurse · San Antonio, TX
Dalisa Kelly Bacon is a Licensed Vocational Nurse provider in San Antonio, TX (NPI 1063062800).
Provider details
- NPI number
- 1063062800
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Providers
- Nurse's Aide376K00000X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Dalisa Kelly Bacon's NPI number?
- Dalisa Kelly Bacon's National Provider Identifier (NPI) is 1063062800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dalisa Kelly Bacon's specialty?
- Dalisa Kelly Bacon is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Dalisa Kelly Bacon located?
- Dalisa Kelly Bacon's practice location on file with NPPES is 7710 West I 10, San Antonio, TX 78230.
- What is Dalisa Kelly Bacon's phone number?
- The practice phone number listed in the NPPES registry for Dalisa Kelly Bacon is (210) 377-3355.
- Is Dalisa Kelly Bacon's NPI active?
- Yes — Dalisa Kelly Bacon's NPI (1063062800) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.