MEDICARE: MS. RASHANDA R BANKS APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	C-APN.010455-C-NP	CO
2	363L00000X	Nurse Practitioner	84571	NM
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1195377	TX

General Provider Information

NPI Number	:	1477214369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RASHANDA R BANKS APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	1511 TEXAS AVE S PMB 233
Second Line	:	PMB 233
City	:	CYPRESS
State	:	TX
Zip	:	77840
Country	:	US
Telephone Number	:	888-360-7587
Fax Number	:	979-446-0280

Provider Business Practice Location Address
First Line	:	3201 UNIVERSITY DR E STE 240
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	888-360-7587
Fax Number	:	979-446-0280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	12/08/2025

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