NPI age
2 years
Enumerated 2024-01-31
● Active
Type 1 · Individual
Sally Diane Bonham, BSN, MSN, FNP, IBCLC
Bonham is 1 of 152 nurse practitioner providers in Waco and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Practice location
3500 Hillcrest Dr Ste 1
Waco, TX 767083144
Mailing address
101 W Louis Henna Blvd Ste 300
Austin, TX 787281203
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2000 S Mays St Ste 201
Round Rock, TX 786647580
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Registered NurseDefinition to come...
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Waco in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.