DALISA KELLY BACON
NPI 1063062800
Licensed Vocational Nurse in San Antonio, TX

Q: What is Dalisa Kelly Bacon's NPI number?

The NPI number for Dalisa Kelly Bacon is 1063062800. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Dalisa Kelly Bacon's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since September 13, 2019

7710 WEST I 10, SAN ANTONIO, TX 78230(210) 377-3355 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Sep 13, 2019 (2 updates tracked since 2019).

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About Dalisa Kelly Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALISA KELLY BACON (NPI 1063062800) is an individual licensed vocational nurse in San Antonio, Texas, licensed in Texas (1014667) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1063062800

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameDALISA KELLY BACON

Location Address7710 WEST I 10San Antonio, TX 78230

Mailing Address7710 West I 10San Antonio, TX 78230 · (210) 377-3355

Phone(210) 377-3355

Sole ProprietorNo

Enumeration DateSeptember 13, 2019

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1063062800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 1014667

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedNurse's AideTaxonomy 376K00000X

7710 WEST I 10, San Antonio, TX 78230

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Other Identifiers 1

Other081598TX · Health Sheild

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalisa Kelly Bacon's NPI number?

The NPI number for Dalisa Kelly Bacon is 1063062800. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Dalisa Kelly Bacon located?

Dalisa Kelly Bacon practices at 7710 West I 10, San Antonio, TX 78230. The listed phone number is (210) 377-3355.

What is Dalisa Kelly Bacon's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Dalisa Kelly Bacon was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.