Sally Diane Bonham, BSN, MSN, FNP, IBCLC
NPI 1811750078ActiveIndividual· Nurse Practitioner, Family· Waco, TX
Nurse Practitioner, Family (BSN, MSN, FNP, IBCLC) with Mark Malone MD PA, practicing in Waco, Texas. Enrolled in Medicare as practitioner - nurse practitioner. Lists Parkview Regional Hospital as a hospital affiliation.
Overview
| NPI | 1811750078 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSN, MSN, FNP, IBCLC |
| Sole proprietor | No |
| NPI issued | Jan 31, 2024 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1182184 | TX |
| Registered Nurse, Lactation Consultant | 163WL0100X | 638280 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Mark Malone MD PARound Rock, TX · 103 clinicians
Hospital affiliation
- Parkview Regional HospitalMexia, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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