Sally Bonham, BSN, MSN, FNP, IBCLC
NPI 1811750078 · Family Nurse Practitioner · Waco, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sally Bonham, BSN, MSN, FNP, IBCLC is a Family Nurse Practitioner provider in Waco, TX (NPI 1811750078).
Provider details
- NPI number
- 1811750078
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- BSN, MSN, FNP, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- 638280 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2000 S Mays St Ste 201Round Rock, TX 78664-7580Phone: (512) 244-4272Fax: (512) 244-2895
Registry dates
- Enumerated
- 2024-01-31
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Sally Bonham's NPI number?
- Sally Bonham's National Provider Identifier (NPI) is 1811750078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sally Bonham's specialty?
- Sally Bonham is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sally Bonham located?
- Sally Bonham's practice location on file with NPPES is 3500 Hillcrest Dr Ste 1, Waco, TX 76708-3144.
- What is Sally Bonham's phone number?
- The practice phone number listed in the NPPES registry for Sally Bonham is (254) 741-6641.
- Does Sally Bonham accept Medicare?
- Sally Bonham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sally Bonham's NPI active?
- Yes — Sally Bonham's NPI (1811750078) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.